Conjunctival disorders Flashcards
Bacterial conjunctivitis- Eti
- Staph, including MRSA, S. pneumonia
- Gonococcal & chlamydial
Bacterial conjunctivitis- Sx
- Copious purulent discharge
- No blurring vision
- Mild discomfort
Bacterial conjunctivitis- Tx
- Self limited: 10-14 days untx
- Sulfa topical 2-3 dats
Viral conjunctivitis- Eti
- Adeonvirus
- Easily spread
- Follows URI
- If unilateral with vesicles than HSV
Viral conjunctivitis- Sx
- Copious watery discharge
- Foreign body sensation
- Follicular conjunctivitis
Viral conjunctivitis- Tx
- Compress
- Tx HSV with acyclovir
Gonococci conjunctivitis- Eti
- Contact with infected genital secretions
- Ophthal emergency
Gonococci conjunctivitis- Sx
- Copious purulent discharge
Gonococci conjunctivitis- Dx
Culture
Gonococci conjunctivitis- Tx
Ceftriaxone
Allergic eye disease- Eti
- Benign, seasonal or exposure based conjunctivitis
- Occurs in late childhood/ early adulthood
Allergic eye disease- Sx
- Itching, tearing, redness
- Stringy discharge
- Photophobia, visual loss
Allergic eye disease- Tx
- Topical mast cell stabilizers
- Topical antihistamines
Vernal conjuntivitis- Eti
- Manifestation of allergic eye disease
- Late childhood/ early adult hood
- Seasonal, predilection for spring
Vernal conjuntivitis- Sx
- Large cobblestone papillae on tarsal conjunctiva
- Lymph follicles at limbus
Vernal conjuntivitis- Tx
- Systemic antihistamies
- Cooler climate
- Topical corticosteroids for acute exacerbations
Inclusion conjunctivitis- Eti
- Genital tract disease- chlamydia
- Following contact with genital secretions
Inclusion conjunctivitis- Sx
- Acute redness, discharge & irritation
- Follicular conjunctivitis
- Nontender preauricular node
Inclusion conjunctivitis- Dx
- PCR or immunologic tests
Inclusion conjunctivitis- Tx
Azithromycin
Subconjunctival hemorrhage- Eti
- Unilateral, spontaneous onset of bright red appearance
- Rupture of small conjunctival vessel
- Coughing or sneezien
Subconjunctival hemorrhage- Sx
Bright red blood sub conjunctiva
- Absorbs in 2-3 weeks
Subconjunctival hemorrhage- Tx
- Reassurance
Reactive conjunctivitis- Eti
- Inflammatory arthritis triggered by GI or GU infection
- Conjunctivitis, anterior uveitis
- Ocular inflammation in 25% cases
Reactive conjunctivitis- Sx
- Intermittent
- Scleral injection
- Pain
- Corneal clouding
Reactive conjunctivitis- Tx
Underlying disease
- NSAIDs
- Glucocorticoids
- Abx
- DMARDSs