PANCE Blueprint EENT (7%)

Neuro-ophthalmologic disorders (PEARLS)

NCCPA™ PANCE Eyes, Ears, Nose, and Throat Content Blueprint eye disorders ⇒ neuro-ophthalmologic disorders

Nystagmus (ReelDx) Involuntary, jerking movements of the eyes

TX: medications baclofen and gabapentin

  • Several therapeutic approaches, such as contact lenses, surgery, and low vision rehabilitation have also been proposed
  • Surgery: tenotomy
  • Physical therapy
Optic neuritis (ReelDx) Acute inflammation and demyelination of the optic nerve leading to acute monocular vision loss/blurriness and pain on extraocular movements

  • Typically occurs over hours or days
  • Associated with multiple sclerosis = MC cause and initial presenting symptoms
  • Can also be from ethambutol

DX: Fundoscopy: Inflammation of the optic disc, confirmed by MRI

TX: Corticosteroids (methylprednisone IV)

  • Refer to neurology for evaluation of Multiple Sclerosis
Papilledema Optic disc swelling that is caused by increased intracranial pressure. The swelling is usually bilateral and can occur over a period of hours to weeks

TX: Treat underlying cause

Hordeolum (ReelDx + Lecture) (Prev Lesson)
(Next Lesson) Nystagmus (ReelDx)
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