Conjunctival Disorders

Question 1

Acute onset. Diffuse erythema, preauricular and anterior cervical lymphadenopathy

Answer 1

Viral conjunctivitis

Question 2

Common cause of viral conjunctiva?

Answer 2

Adenovirus

Question 3

Viral Conjunctiva TX

Answer 3

Commonly self-limiting
Topical sulfa or neomycin
PolyTrim eye drops
Erythromycin ointment

Question 4

Intense, bilateral pruritis, mild injection, stringy discharge

Answer 4

Allergic Conjunctiva

Question 5

Profuse, purulent discharge, upper + lower lid edema, tender preauricular lymphadenopathy, tender to palpation

Answer 5

Neisseria Conjunctiva

Question 6

How is neisseria conjunctivitis transmitted?

Answer 6

Genitalia to hands to eyes

Question 7

Neisseria conjunctivitis TX

Answer 7

IM ceftriaxone
Doxycycline (avoid in kids/pregnancy)

Question 8

Severe neisseria conjunctivitis TX

Answer 8

Admit to hospital

Question 9

Neisseria conjunctivitis follow up

Answer 9

Retest in 3 mos

Question 10

How does Neisseria appear on a gram stain?

Answer 10

Gram (-) diplococci

Question 11

4 y.o. PX, mucopurulent discharge, mild conjunctivitis, entropion, eyelash abrasions

Answer 11

Chlamydia Conjunctivitis

Question 12

RIsk factors for chlamydia conjunctivitis

Answer 12

Poor access to water
Children < 5 y.o.
Overcrowding
Flies

Question 13

Chlamydia conjunctivitis TX

Answer 13

1x dose of Azithromycin PO
Topical tetracycline

Question 14

Chlamydia conjunctivitis preventative TX

Answer 14

Erythromycin ointment at birth
Ocular/facial hygiene

Question 15

Excessive mucous, FB sensation, dry eye, irritation that worsens as the day goes on

Answer 15

Keratoconjunctivitis sicca

Question 16

Schirmer test: what is it? what is it used for?

Answer 16

Punctate staining of cornea w/ fluorescein dye
Used to dx dry eye

Question 17

Keratoconjunctivitis sicca TX

Answer 17

Restasis
Artificial tears

Question 18

Elevated fleshy conjunctival masses on nasal side of conjunctiva, confined to conjunctival area

Answer 18

Pinguecula

Question 19

What causes pinguecula?

Answer 19

Chronic exposure to dry, windy conditions

Question 20

Pinguecula TX

Answer 20

No tx necessary

Question 21

Acute engorgement of episcleral vessels, diffuse erythema, dull ache, no discharge or corneal involvement

Answer 21

Episcleritis

Question 22

Episcleritis TX

Answer 22

Refer to ophthalmology
Most cases are self-limiting
Cold compresses

Question 23

Bright/dark red patch on white of eye, no other symptoms

Answer 23

Subconjunctival hemorrhage

Question 24

What causes subconjunctival hemorrhage?

Answer 24

Small blood vessels of conjunctiva break spontaneously from injury

Question 25

Subconjunctival hemorrhage TX

Answer 25

Self-limiting/no TX

Question 26

Discoloration over cornea/iris, asymptomatic otherwise

Answer 26

Melanoma

Question 27

What is the most common primary tumor of the eye in adults?

Answer 27

Melanoma