Acute Red Eye Flashcards

1
Q

What is the branch of medicine that deals with structure, functions and diseases of the eye?

A

Opthalmology

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2
Q

What is acute red eye?

A

Cardinal sign of ocular inflammation

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3
Q

What is seen in the history for acute red eye?

A

Red - distribution, degree

Pain - gritty, itchy, stabbing, throbbing

Discharge - purulent, mucoid, watery

Photophobia

Flashing lights and floaters

Blurred vision

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4
Q

What are relevant examinations for acute red eye?

A
  • Best corrected visual acuity
  • Snellen chart
  • Staining with fluoscrene
  • Fundal examination
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5
Q

What is infective conjunctivitis?

A

Infection of the thin skin (the conjunctiva) in front of the eye

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6
Q

What is the clinical presentation of infective conjunctivits?

A

Gritty

Red

Discharge - purulent/watery

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7
Q

What is the treatment for infective conjunctivits?

A

Topical antibiotics

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8
Q

What is allergic conjunctivits?

A

Eye inflammation caused by an allergic rection to substances like pollen or mold spores

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9
Q

What is the clinical presentation of allergic conjunctivitis?

A

Itchy

Red

Discharge (mucoid/watery)

Acute

Lid swelling

Conjuctival swelling

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10
Q

What is the treatment for allergic conjunctivitis?

A

Topical antihistamine

Avoid allergen

Mast cell stabilisers

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11
Q

What is a corneal abrasion?

A

Small scratch on the cornea

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12
Q

What is the clinical presentation of corneal abrasion?

A

Pain

Watery

Blurred vision

Epithelial defect

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13
Q

What is the treatment for corneal abrasion?

A

Topical antibiotics

Analgesia

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14
Q

What is acute anterior uveitis?

A

Inflammation in the anterior chamber of the eye

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15
Q

What is the clinical presentation of acute anterior uveitis?

A

Pain

Watery

Photophobia

Red

Cells in anterior chamber

Hyponyon ( inflammatory cells in the anterior chamber of the eye)

Small irregular pupil

May have previous history

With or without - blurred vision, floaters

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16
Q

What is the treatment for acute anterior uveitis?

A

Topical steroids

Dilating drops

17
Q

What is scleritis?

A

Inflammation involving the deep episclera and sclera

18
Q

What is the clinical presentation of scleritis?

A

Pain (most common)

Tender (most common)

Redness (deep scleral vessels)

Nodule (does not move over sclera)

19
Q

What is the treatment for scleritis?

A

Systemic steroids

20
Q

What is acute angle closure glaucoma?

A

Flow of aqeous humor out of the eye is blocked and pressure inside the eye becomes too high very quickly

21
Q

What is the clinical presentation of acute angle closure glaucoma?

A

Pain

Redness

Blurred vision

Nausea and vomiting

Hazy corna

Fixed mid dilated pupil

Hard eyeball

22
Q

What is the treatment for acute angle closure glaucoma?

A

Lower intraocular pressure

Constrict pupil

23
Q

What is orbital cellulitis?

A

Inflammation of the eye tissues behind the orbital septum

24
Q

What is the clinical presentation of orbital cellulitis?

A

Pain

Redness

Blurred vision

Diplopia (double vision)

Malaise

Pyrexia

Prptosis

Reduced eye movement

25
Q

What is the medical term for double vision?

A

Diplopia

26
Q

What is the treatment for orbital cellulitis?

A

Admit

IV antibiotic

CT scan

Drainage of pus