Acute Red Eye Flashcards
what is ophthalmology?
A branch of medicine dealing with the structure, functions and diseases of the eye
how do you take a history of acute red eye?
Red – distribution, degree Pain – gritty, itchy, stabbing, throbbing Discharge – purulent, mucoid, watery Photophobia Flashing lights and floaters Blurred vision – always ask
how do you exam an acute red eye?
Snellen Chart
Best Corrected Visual Acuity
Staining with fluroscene – outlines epithelial defects
Fundal examination – direct ophthalmoscope
slit lamp & volk lens
symptoms and signs of infective conjunctivitis
Gritty
Red
Discharge (purulent/watery)
treatment of infective conjunctivitis
Topical antibiotics
symptoms and signs of allergic conjunctivitis?
Itchy Red Discharge (mucoid/watery) Acute Lid swelling Conjunctival swelling (chemosis)
treatment of allergic conjunctivitis
Topical antihistamine
Avoid allergen
Mast cell stabilisers
symptoms and signs of corneal abrasion
Pain
Watering
Blurred vision
Epithelial defect
treatment of corneal abrasion
Topical antibiotics
Analgesia
what is acute anterior uveitis?
inflammation of iris and ciliary body
symptoms and signs of acute anerior uveitis
Pain Watering Photophobia \+/-Blurred vision \+/- floaters Red Cells in anterior chamber Hypopyon Small irregular pupil May have previous history
treatment of acyte anterior uveitis?
Topical steroids
Dilating drops
symptoms and signs of scleritis
Pain++
Redness (deep scleral vessels)
Nodule (does not move over sclera)
Tender++
treatment of scleritis
Systemic steroids
symptoms and signs of acute angle closure glaucoma
Pain++ Redness Blurred vision Nausea & vomiting Hazy cornea Fixed mid dilated pupil Hard eyeball