Acute Red Eye Flashcards

1
Q

What commonly precedes a case of viral conjunctivitis?

A

Viral URTI

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2
Q

Will viral conjunctivitis impair vision?

A

No, this is a red flag sign.

If seen, refer urgently to ophthalmology.

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3
Q

How does an ocular surface problem present?

A

Foreign body/gritty sensation

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4
Q

What are common causes of foreign body/gritty sensation?

A

Dry eyes
Blepharitis
Conjunctivitis

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5
Q

What form of conjunctivitis is associated with a mucopurulent discharge?

A

Bilateral conjunctivitis

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6
Q

What is a common finding in both allergic and viral conjunctivitis?

A

Orbital swelling

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7
Q

Does itch present in viral conjunctivitis?

A

No, it is only seen in allergic conjunctivitis?

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8
Q

Lymphadenopathy in which organ is pathognomonic of viral conjunctivitis?

A

Pre-auricular

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9
Q

Which antibiotic is used to treat bacterial conjunctivitis?

A

Topical chloramphenicol

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10
Q

When is fusidic acid used?

A

To treat staphylococcus infection.

Often applicable in blepharitis.

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11
Q

What is blepharitis?

A

When the edges of the eyelids become red and swollen.

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12
Q

How should viral conjunctivitis be managed?

A

Lubrication (e.g. carbomer gel)
Steroids - if significant inflammation is present.

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13
Q

What lifestyle advice should be given to patients with an infective conjunctivitis?

A

Avoid sharing towels
Maintain good hand hygiene
Avoid contact lenses

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14
Q

What is a hypopyon?

A

The presence of white cells in the anterior chamber of the eye.

It is indicative of inflammation within the eye.

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15
Q

What is limbal injection?

A

Redness around the corneal border.

May indicate keratitis, or inflammation within the eye.

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16
Q

Which conditions are linked to the incidence of anterior uveitis?

A

Ankylosing spondylitis
IBD
Syphilis

17
Q

How is anterior uveitis treated?

A

Mydriatics (to dilate pupil) and steroid therapy.

Analgesia given to ease pain.

18
Q

How is pan-uveitis treated?

A

Oral steroids - topical drops will not be able to reach the required depth within the orbit to treat inflammation.

19
Q

Which conditions may cause uveitis?

A

Herpes
Immunosuppression
Cytomegalovirus
Syphilis
Idiopathic
Systemic disease

20
Q

What systemic disease may present with uveitis?

A

Psoriatic arthritis
Rheumatoid arthritis
Ankylosing spondylitis
IBD
Vasculitides

21
Q

What is arceye?

A

Sunburn of the ocular surface.

Often seen in welders - will be bilateral.

22
Q

Can dendritic ulcers be managed in primary care?

A

No, they must be referred to ophthlamology.

23
Q

Do dendritic ulcers cause pain?

A

No, as nerve is damaged by the ulcer.

24
Q

How can IOP be examined in clinical practice?

A

Ask patient to close eye and look down.

Palpation of the eye should be squishy - if stone-like, then raised IOP.

25
Q

How does keratitis present?

A

Significant foreign body sensation.

It is an ophthalmic emergency.

26
Q
A