OPT 6526 Pathology Anterior Segment
Four hours of lecture per week and two hours of laboratory per week. Diagnosis and management of diseases, disorders, and injuries of the ocular adnexa and anterior segment of the eye. Ocular microbiology of lids/lashes, conjunctiva and cornea. Appropriate ordering and procedures for cultures in anterior segment disease. Infectious diseases to include blepharitis, conjunctivitis, keratitis, endophthalmitis, dacryoadenitis, dacryocystitis, preseptal cellulitis and orbital cellulitis. Fungal, bacterial, viral and protozoal diseases of the anterior segment and their diagnoses, treatments, followup and prognoses. Metabolic, autoimmune, and neuromuscular disease in anterior segment evaluation and management. Non-infectious lid disease. Degenerations and neoplastic changes. Indications for surgery and biopsy. Orbital, lid and ocular injury and their acute and long-term management. Associated radiologic studies germane to ocular trauma/disease. Ocular tissue response to injury and management interventions to decrease infection and vision loss. Neurologic pain pathways and topical and systemic pain management in anterior segment disease and injury. Genetic disorders of the anterior segment and co-morbidities and their management. Associated systemic disease and co-morbidities in the diagnosis, treatment of anterior segment disease. Appropriate use of systemic referrals in anterior segment disease. Inflammation and its effect on tissue and healing. Topical and systemic management of inflammatory response in treatment and management of anterior segment trauma and disease. Indications for hematologic laboratory studies in anterior segment disease. Natural course and types of cataracts and their visual effects. Surgical treatment of cataracts and after-cataracts. Nutraceuticals in the management of anterior segment disease. Laboratory will emphasize clinical procedures related to anterior segment care to include specialized techniques in slit lamp biomicroscopy (e.g., evaluation of the anterior chamber), Goldmann tonometry, three and four mirror gonioscopy, eyelid margin maintenance (e.g., eyelid margin debridement), dry eye evaluation (e.g, vital dye staining, meibography, Inflammadry MMP-9 testing) punctal occlusion, punctal dilation/irrigation, foreign body removal, patching, bandage contact lenses.
Offered
Spring