Conjunctiva

Question 1

Types of conjunctivitis are ( broad categories)

Answer 1

1. Infective 2. Allergic 3. Cicatricial 4.Toxic conjunctivitis

Question 2

CLassify infective conjunctivitis

Answer 2

a. BACTERIAL
B. VIRAL
C. OPHTHALMIA NEONATORUM
D.GRANULOMATOUS CONJUNCTIVITIS

Question 3

Classify bacterial conjunctivitis

Answer 3

Acute,hyperacute,chronic,angular,chlamydial(trachoma,adult inclusion conjunctivitis, neonatal chlamydial conjunctivitis)

Question 4

Classify viral conjunctivitis

Answer 4

Adenovirus conjunctivitis, enterovirus conjunctivitis, molluscum contagiosum conjunctivitis and HSV conjunctivitis

Question 5

Name one granulomatous conjunctivitis

Answer 5

Perinaud oculoglandular syndrome

Question 6

Allergic conjunctivitis are

Answer 6

Simple allergic conjunctivitis, AKC,VKC,Giant papillary conjunctivitis,phylctenular conjunctivitis and contact dermoconjunctivitis

Question 7

Classify cicatricial conjunctivitis

Answer 7

Ommp( ocular mucosal membrane pemphigiod)
Stevens johnson syndromes
TeN ( toxic epidermal necrolysis)
Secondary cicatricial conjunctivitis

Question 8

Pathology in association with bacterial conjunctivitis

Answer 8

A. Vascular response
B. Cellular response
C. Conjunctival tissue response
D. Conjunctival discharges

Question 9

Mucopurulent discharges are seen in

Answer 9

Bacterial and chlamydial conjunctivitis

Question 10

Organisms causing acute bacterial conjunctivitis

Answer 10

Staph. Aureus, hemophilus influenzae, strepto, pneumococcus.

Question 11

Signs and symptoms of acute bacterial conjunctivitis are

Answer 11

Symptoms- foreign body sensation, grittiness, discomfort, mucopurulent discharge, sticking of lid margin,mild photophobia, coloured halos, slight blurring of vision
Signs- mucopus flakes present,conjunctival congestion giving FEIRY RED APPEARANCE,chemosis,cilia matted together with yellow crust

Question 12

Is acute bacterial conjunctivitis bilateral

Answer 12

Yes

Question 13

D/d of acute bacterial conjunctivitis are

Answer 13

1. Causes of red eye- acute bacterial conjunctivitis, acute iridocyclitis, acute congestive Glaucoma
2. Other forms of conjunctivitis

Question 14

Management of acute bacterial conjunctivitis

Answer 14

A. Topical antibiotics (broad spectrum)
B. Twice a day irrigation of conjunctival sac (avoid frequent eye washing?)
C.goggles
D. No bandage(?)
E.no steroids(?)
F.anti inflammatory and analgesic drugs

Question 15

Cause of hyperacute conjunctivitis is

Answer 15

N. Gonorrhoea. AKA acute purulent conjunctivitis.

Presence of intense inflammatory response

Question 16

Hyperacute conjunctivitis occur in ——- forms

Answer 16

Two, adult purulent conjunctivitis and ophthalmia neonatorum

Question 17

Complications of hyperacute conjunctivitis

Answer 17

A. Corneal involvements?
B. Iridocyclitis
C. Systemic

Question 18

Systemic treatment for gonococcal conjunctivitis

Answer 18

A.cefoxitin I.v
B. Cefotaxime I.v
C. Ceftriaxone I.m
D.norfloxacin orally
E.spectinomycin I.m
F.all the above regimen followed by one week course of doxycycline or erythromycin. (Orally)
(LeRn dose later)

Question 19

Angular bacterial conjunctivitis is a form of ———— conjunctivitis

Answer 19

Chronic

Question 20

Causative organism of angular bacterial conjunctivitis

Answer 20

Moraxella lacunata/moraxella axenfeild diplobacillus/ staph aureus (rare)

Question 21

Curative treatment of angular conjunctivitis is

Answer 21

Oxytetracycline eyes ointment and zinc lotion and zinc oxide ointment ?