Anterior segment and the red eye Flashcards

1
Q

6 parts of the ant segment

A
1. cornea
2 iris
ciliary body
lens
sclera
conjuntiva
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2
Q

what does red eye mean

A

anterior segment problem

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3
Q

3 usual mechs. of red eye and one exception

A

infection, inflammation, irritation

except : acute angle closure glaucoma

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4
Q

2 features of posterior segment issues

A

not red, painless

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5
Q

4 main lid pathos

A
  1. blepharitis
  2. hordeolum - stye
  3. chalazion
    4, allergic dermatitis
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6
Q

features of blepharitis

A

yellow flakes and red inflamed margins

- from too much oil build up

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7
Q

treatment of blepharitis

A

warm compress

- bact superinfection may need ABs

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8
Q

what is hordeolum

A

stye - block oil gland

  • may be sterile or infected
  • if chronic - chalazion
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9
Q

2 locations of stye and cause

A
external = hair follicle
internal = meimobian gland
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10
Q

what happens if the infection seems to be on some other part of the eye

A

need to refer

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11
Q

2 types of cellulitis

A

preseptal and orbital (behind septum)

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12
Q

**which cellulitis is worse

A

orbital - emergency

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13
Q

signs of preseptal

A

eyelic redness, edema, tenderness

- globe white

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14
Q

*** 6 signs of orbital

A
  1. proptosis
  2. pain with EOM
  3. limitation of EOM
  4. optic disc edema
  5. redness of globe
  6. RAPD
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15
Q

4 diseases of the conjunctiva

A
  1. subconjunctival hemm
  2. conjuntivitis
  3. pinguelcula/pterygium
  4. scleritis/episcleritis
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16
Q

feat of subconjunctival hemm

A
  • traumatic or spont
  • common if on anticoag
  • will usually resolve in 10 days
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17
Q

3 keys to hemmorage

A
  1. does not affect vision
  2. always self resolves
  3. NOT a reason to stop anti-coag
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18
Q

3 types of conjunctivitis

A
  1. bacterial
  2. viral
  3. allergic
19
Q

Sx of bact. conjuntivits

A
  • redness and mild irritation
  • purulent discharge
  • mild topical AB (polysporin
20
Q

def. hyperpurulent gon***

A
  • gonorrhea
  • may perf the cornea
  • emergency
21
Q

Sx of viral

A
  • itching burning, redness
  • Watery discharge
  • tender pre-auricular nodes
22
Q

inportance of viral conjuntivitis

A
  • very contagious]

- not ABs

23
Q

features of allergic conjuntivitis

A

itching
- seasonal
- atopic Hx
AVOID visine

24
Q

treat of viral and allergic

A

allergic - cold compress, anti-allergy

viral - compress, contact protections

25
mech, pattern, pain, test, treatment of episcleritis
``` mech : inlammation of superficial conjunctival vessels pattern : sectoral redness pain : mild test : blanches with phenyephrine treat; beingin, nsaids ```
26
mech, pattern, pain, test, treatment of scleritis
mech : inlammation of deep episcleral vessels pattern : diffuse redness pain : severe test : NOT blanches with phenyephrine treat; refer, threatening, NSAIDs and steroids
27
3 corneal diseases
1. abraision 2. ulcer 3. other keratitis
28
what is use of florescein
disclosing agent | - attached to bowmans capsule in abscence of epithelium and glows green in cobalt blue light
29
cause, KEY features, onset, history, anterior cells, importance, and treatment of abrasion***
``` cause - loss of corneal epi - scratch features - pain, tears, photophobie TRANSPARENT cornea onset - sudden history - trauma anterior cells - not usually importance - heals treatment - mild ABs for prevention ```
30
cause, KEY features, onset, history, anterior cells, importance, and treatment of ulcer***
cause - loss of corneal epi with infection features - pain, tears, photophobie WHITE cornea lesions onset - hours to days history - contact lens anterior cells - hypopeon importance - emergency treatment - strong ABs q1h
31
what not to give for abraison and ulcer***
anathetic drops
32
feat. of eye HSV
- can be in any layer - irritation, photophobia, pain, reduced vision - red eye, corneal dendrite with terminal BULBs
33
what to do for HSV**
NEVER steroids | - refer for antivirals
34
what are features of HZV in eye
- reactivation in V1 dermatome - shingles - eyelids gen. involved - if has nose (hutchisons sign) -
35
treat for HZV
refer - systemic AVs for 1 week - prevent post-herpetic neuralgia
36
4 diseases if the aterior chamber
1. iritis 2. endopthalmitis 3. acute angle closure glaucoma 4. globe rupture
37
signs and Sx of ititis
signs - small pupil, redness at corneoscleral jct, cells in anterior chamber Sx - pain, photophobia, reduced vision
38
2 possible comliations of iritis
1. posterior syneciae | 2. glaucoma
39
treatment of iritis
intense topical steroids q1h | - by optho
40
def. endopthalmitis and panopthalmitis
endo - inflammation (us. infection) of internal layers | pan - all layers
41
what is indicator of endothalmitis**
- severe pain - reduced vision hypopyon with a recent ocular surgery
42
treat of endopthal
refer - vitreous tap - IV ABs
43
** 5 signs of acute angle closure glaucoma
- severe pain - N/V - fixed, mid-dilated pupil - high IOP > 40 - corneal haze
44
features of globe rupture
- trauma (penetrating, perforating, foreign body) - chemosis - peaked pupil - hemm.