Acute Red Eye Flashcards

1
Q

what is ophthalmology?

A

A branch of medicine dealing with the structure, functions and diseases of the eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

how do you take a history of acute red eye?

A
Red – distribution, degree
Pain – gritty, itchy, stabbing, throbbing
Discharge – purulent, mucoid, watery
Photophobia
Flashing lights and floaters
Blurred vision – always ask
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how do you exam an acute red eye?

A

Snellen Chart
Best Corrected Visual Acuity
Staining with fluroscene – outlines epithelial defects

Fundal examination – direct ophthalmoscope
slit lamp & volk lens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

symptoms and signs of infective conjunctivitis

A

Gritty
Red
Discharge (purulent/watery)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

treatment of infective conjunctivitis

A

Topical antibiotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

symptoms and signs of allergic conjunctivitis?

A
Itchy
Red
Discharge (mucoid/watery)
Acute
Lid swelling
Conjunctival swelling
    (chemosis)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

treatment of allergic conjunctivitis

A

Topical antihistamine
Avoid allergen
Mast cell stabilisers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

symptoms and signs of corneal abrasion

A

Pain
Watering
Blurred vision
Epithelial defect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

treatment of corneal abrasion

A

Topical antibiotics

Analgesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is acute anterior uveitis?

A

inflammation of iris and ciliary body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

symptoms and signs of acute anerior uveitis

A
Pain
Watering
Photophobia
\+/-Blurred vision
\+/- floaters
Red
Cells in anterior chamber
Hypopyon
Small irregular pupil
May have previous history
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

treatment of acyte anterior uveitis?

A

Topical steroids

Dilating drops

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

symptoms and signs of scleritis

A

Pain++
Redness (deep scleral vessels)
Nodule (does not move over sclera)
Tender++

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

treatment of scleritis

A

Systemic steroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

symptoms and signs of acute angle closure glaucoma

A
Pain++
Redness
Blurred vision
Nausea & vomiting
Hazy cornea
Fixed mid dilated pupil
Hard eyeball
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

treatmemt of acute angle closure glaucoma

A

Lower intraocular pressure

Constrict pupil

17
Q

what is orbital cellulitis

A

infection of orbital tissues

18
Q

symptoms and signs of orbital cellulitis

A
Pain+
Redness
Blurred vision
Diplopia (double vision)
Malaise (unwell)
Pyrexia
Proptosis
Reduced eye movement
19
Q

treatment of orbital cellulitis

A

Admit
IV antibiotics
CT Scan
Drainage of pus