Cursus: Neurologie en Oogheelkunde
Aantekeningen hoorcolleges
Esmée Peters
Geneeskunde Jaar 3
VUMC
2023-2024
,Colleges
Week 1............................................................................................................................................................... 4
Hoorcollege 1.1 – Inleiding oogheelkunde.................................................................................................................4
Hoorcollege 1.2 – Erfelijke oogaandoeningen I.........................................................................................................9
Hoorcollege 1.3 – Erfelijke oogaandoeningen II......................................................................................................12
Hoorcollege 1.4 – Introductie anatomie en neuroimaging......................................................................................12
Hoorcollege 1.5 Neuroftalmologie, oogbewegingen, glaucoom (volwassenen).....................................................16
Hoorcollege 1.6 – Strabismus, dubbelzien (kinderen)..............................................................................................22
Hoorcollege 1.7 – Ooglidpathologie (oogleden, orbita)..........................................................................................27
Hoorcollege 1.8 – Uveïtis, scleritis...........................................................................................................................32
Hoorcollege 1.9 – Vitreoretinale chirurgie en trauma.............................................................................................38
Hoorcollege 1.10 – Retina (medisch).......................................................................................................................43
Hoorcollege 1.11 – Cataract....................................................................................................................................48
Hoorcollege 1.12 – Cornea + rode oog....................................................................................................................50
Week 2.............................................................................................................................................................. 55
Hoorcollege 2.1 – Neuroanatomie en neurofysio (opfrissen)..................................................................................55
Hoorcollege 2.2 – Infectie........................................................................................................................................58
Hoorcollege 2.3 – CVA..............................................................................................................................................61
Hoorcollege 2.4 – Introductie practicum revalidatie bij CVA...................................................................................65
Hoorcollege 2.5 – Hoofdpijn....................................................................................................................................68
Hoorcollege 2.6 – Draaiduizeligheid........................................................................................................................72
Hoorcollege 2.7 – Radiculaire syndromen...............................................................................................................74
Hoorcollege 2.8 – KR (patiënt).................................................................................................................................81
Hoorcollege 2.9 – Meet the expert..........................................................................................................................81
Hoorcollege 2.10 – Epilepsie....................................................................................................................................84
Hoorcollege 2.11 – Neurotrauma............................................................................................................................91
Week 3.............................................................................................................................................................. 99
Hoorcollege 3.1 – Neuromusculaire ziekten............................................................................................................99
Hoorcollege 3.2 – Perifere zenuwaandoeningen...................................................................................................104
Hoorcollege 3.3 – Bewegingsstoornissen..............................................................................................................109
Hoorcollege 3.4 – Introductie farmacotherapie (migraine en CVA)......................................................................113
Hoorcollege 3.5 – Meet the expert........................................................................................................................118
Hoorcollege 3.6 – KR (patiënt)...............................................................................................................................118
Hoorcollege 3.7 – Kinderneurologie.......................................................................................................................119
2
, Hoorcollege 3.8 – Neurogenetica..........................................................................................................................124
Week 4............................................................................................................................................................ 129
Hoorcollege 4.1 – Multipele sclerose.....................................................................................................................129
Hoorcollege 4.2 – Neuro-oncologie.......................................................................................................................134
Hoorcollege 4.3 – Myelopathie..............................................................................................................................136
Hoorcollege 4.4 – KR (patiënt)...............................................................................................................................140
Hoorcollege 4.5 – Functionele neurologische aandoeningen................................................................................140
TBL: Week 1.................................................................................................................................................... 143
Toetsvragen...........................................................................................................................................................143
Casus......................................................................................................................................................................143
Extra aantekeningen..............................................................................................................................................145
Week 2............................................................................................................................................................ 150
Toetsvragen...........................................................................................................................................................150
Casus......................................................................................................................................................................151
Week 3............................................................................................................................................................ 157
Toetsvragen...........................................................................................................................................................157
Casus......................................................................................................................................................................158
3
, Week 1
Hoorcollege 1.1 – Inleiding oogheelkunde
De oogbol
2 delen
- Voorsegment
- Achter segment
3 lagen
- Buitenkant
o Sclera
o Cornea
- Uvea
- Retina
Sclera
- Buitenste laag van de oogbol, beschermt het oog
- Voorste gedeelte is doorzichtig
Cornea
- Diameter van 12mm
- Gemiddeld 600 micrometer dik
- Doorzichtig door parallelle opbouw van de cornealamellen en pompwerking van de
endotheelcellen
Afwijkende sclera/cornea
Uvea
Bestaat uit drie delen
- De iris (regenboogvlies)
o Dit is het diafragma rond een centrale opening, de pupil.
Lichtinval op de retina
Optimale diameter waardoor het beeld op de retina
scherp is.
- Het corpus ciliare (straallichaam)
o De functie is accommodatie en productie van het
kamerwater
4
Aantekeningen hoorcolleges
Esmée Peters
Geneeskunde Jaar 3
VUMC
2023-2024
,Colleges
Week 1............................................................................................................................................................... 4
Hoorcollege 1.1 – Inleiding oogheelkunde.................................................................................................................4
Hoorcollege 1.2 – Erfelijke oogaandoeningen I.........................................................................................................9
Hoorcollege 1.3 – Erfelijke oogaandoeningen II......................................................................................................12
Hoorcollege 1.4 – Introductie anatomie en neuroimaging......................................................................................12
Hoorcollege 1.5 Neuroftalmologie, oogbewegingen, glaucoom (volwassenen).....................................................16
Hoorcollege 1.6 – Strabismus, dubbelzien (kinderen)..............................................................................................22
Hoorcollege 1.7 – Ooglidpathologie (oogleden, orbita)..........................................................................................27
Hoorcollege 1.8 – Uveïtis, scleritis...........................................................................................................................32
Hoorcollege 1.9 – Vitreoretinale chirurgie en trauma.............................................................................................38
Hoorcollege 1.10 – Retina (medisch).......................................................................................................................43
Hoorcollege 1.11 – Cataract....................................................................................................................................48
Hoorcollege 1.12 – Cornea + rode oog....................................................................................................................50
Week 2.............................................................................................................................................................. 55
Hoorcollege 2.1 – Neuroanatomie en neurofysio (opfrissen)..................................................................................55
Hoorcollege 2.2 – Infectie........................................................................................................................................58
Hoorcollege 2.3 – CVA..............................................................................................................................................61
Hoorcollege 2.4 – Introductie practicum revalidatie bij CVA...................................................................................65
Hoorcollege 2.5 – Hoofdpijn....................................................................................................................................68
Hoorcollege 2.6 – Draaiduizeligheid........................................................................................................................72
Hoorcollege 2.7 – Radiculaire syndromen...............................................................................................................74
Hoorcollege 2.8 – KR (patiënt).................................................................................................................................81
Hoorcollege 2.9 – Meet the expert..........................................................................................................................81
Hoorcollege 2.10 – Epilepsie....................................................................................................................................84
Hoorcollege 2.11 – Neurotrauma............................................................................................................................91
Week 3.............................................................................................................................................................. 99
Hoorcollege 3.1 – Neuromusculaire ziekten............................................................................................................99
Hoorcollege 3.2 – Perifere zenuwaandoeningen...................................................................................................104
Hoorcollege 3.3 – Bewegingsstoornissen..............................................................................................................109
Hoorcollege 3.4 – Introductie farmacotherapie (migraine en CVA)......................................................................113
Hoorcollege 3.5 – Meet the expert........................................................................................................................118
Hoorcollege 3.6 – KR (patiënt)...............................................................................................................................118
Hoorcollege 3.7 – Kinderneurologie.......................................................................................................................119
2
, Hoorcollege 3.8 – Neurogenetica..........................................................................................................................124
Week 4............................................................................................................................................................ 129
Hoorcollege 4.1 – Multipele sclerose.....................................................................................................................129
Hoorcollege 4.2 – Neuro-oncologie.......................................................................................................................134
Hoorcollege 4.3 – Myelopathie..............................................................................................................................136
Hoorcollege 4.4 – KR (patiënt)...............................................................................................................................140
Hoorcollege 4.5 – Functionele neurologische aandoeningen................................................................................140
TBL: Week 1.................................................................................................................................................... 143
Toetsvragen...........................................................................................................................................................143
Casus......................................................................................................................................................................143
Extra aantekeningen..............................................................................................................................................145
Week 2............................................................................................................................................................ 150
Toetsvragen...........................................................................................................................................................150
Casus......................................................................................................................................................................151
Week 3............................................................................................................................................................ 157
Toetsvragen...........................................................................................................................................................157
Casus......................................................................................................................................................................158
3
, Week 1
Hoorcollege 1.1 – Inleiding oogheelkunde
De oogbol
2 delen
- Voorsegment
- Achter segment
3 lagen
- Buitenkant
o Sclera
o Cornea
- Uvea
- Retina
Sclera
- Buitenste laag van de oogbol, beschermt het oog
- Voorste gedeelte is doorzichtig
Cornea
- Diameter van 12mm
- Gemiddeld 600 micrometer dik
- Doorzichtig door parallelle opbouw van de cornealamellen en pompwerking van de
endotheelcellen
Afwijkende sclera/cornea
Uvea
Bestaat uit drie delen
- De iris (regenboogvlies)
o Dit is het diafragma rond een centrale opening, de pupil.
Lichtinval op de retina
Optimale diameter waardoor het beeld op de retina
scherp is.
- Het corpus ciliare (straallichaam)
o De functie is accommodatie en productie van het
kamerwater
4
