Conjunctiva

Question 1

Conjunctivitis - bacterial vs viral

Answer 1

bacterial - sticky red eye 
mucopurulent discharge 
lid swelling 
conjunctival injection 
conjunctival oedema and chemosis 

viral 
itchy eyes 
tearing 
hyperaemia 
WATERY discharge 
light sensitivity 
FB sensation

Question 2

Vernal Keratoconjunctivitis
features
sequelae

Answer 2

conjunctival - cobblestoning - giant papillae
limbal - peri-limbal Horner Trantas dots
corneal - neovascularisation - resolves forms ring like scar

Corneal scarring + Keratoconus/ refractive error
Impaired VA
Ptosis due to levator mm dehiscence

Question 3

Pingeculum

Answer 3

yellow white deposit on conjunctiva adjacent to limbus
NO corneal extension
Rx: Lubrication

Question 4

Pterygium

Answer 4

benign wedge shaped fibrovascular growth of conjunctiva - extends into cornea
causes ocular surface irritation
extends onto cornea = visual impairment
Rx: surgical excision (if bothers patient)

Question 5

SCC

Answer 5

most common conjunctival pathology
HIV

rapid growth 
pigmentation 
irregular borders and surface area 
FEEDER vessels 
bumpy and granular 
Rx: evisceration

Question 6

Treatment 
Chlamydial conjunctivitis 
Meningococcal conjunctivitis 
Neonatal conjunctivitis 
Gonococcal keratoconjunctivitis

Answer 6

erythromycin/ tetracycline
topical: pen drops + ciprobay/rocephine
erythromycin ointment
topical: gentamycin and IM rocephine