Conjunctival disorders Flashcards

1
Q

Bacterial conjunctivitis- Eti

A
  • Staph, including MRSA, S. pneumonia

- Gonococcal & chlamydial

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2
Q

Bacterial conjunctivitis- Sx

A
  • Copious purulent discharge
  • No blurring vision
  • Mild discomfort
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3
Q

Bacterial conjunctivitis- Tx

A
  • Self limited: 10-14 days untx

- Sulfa topical 2-3 dats

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4
Q

Viral conjunctivitis- Eti

A
  • Adeonvirus
  • Easily spread
  • Follows URI
  • If unilateral with vesicles than HSV
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5
Q

Viral conjunctivitis- Sx

A
  • Copious watery discharge
  • Foreign body sensation
  • Follicular conjunctivitis
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6
Q

Viral conjunctivitis- Tx

A
  • Compress

- Tx HSV with acyclovir

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7
Q

Gonococci conjunctivitis- Eti

A
  • Contact with infected genital secretions

- Ophthal emergency

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8
Q

Gonococci conjunctivitis- Sx

A
  • Copious purulent discharge
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9
Q

Gonococci conjunctivitis- Dx

A

Culture

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10
Q

Gonococci conjunctivitis- Tx

A

Ceftriaxone

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11
Q

Allergic eye disease- Eti

A
  • Benign, seasonal or exposure based conjunctivitis

- Occurs in late childhood/ early adulthood

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12
Q

Allergic eye disease- Sx

A
  • Itching, tearing, redness
  • Stringy discharge
  • Photophobia, visual loss
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13
Q

Allergic eye disease- Tx

A
  • Topical mast cell stabilizers

- Topical antihistamines

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14
Q

Vernal conjuntivitis- Eti

A
  • Manifestation of allergic eye disease
  • Late childhood/ early adult hood
  • Seasonal, predilection for spring
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15
Q

Vernal conjuntivitis- Sx

A
  • Large cobblestone papillae on tarsal conjunctiva

- Lymph follicles at limbus

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16
Q

Vernal conjuntivitis- Tx

A
  • Systemic antihistamies
  • Cooler climate
  • Topical corticosteroids for acute exacerbations
17
Q

Inclusion conjunctivitis- Eti

A
  • Genital tract disease- chlamydia

- Following contact with genital secretions

18
Q

Inclusion conjunctivitis- Sx

A
  • Acute redness, discharge & irritation
  • Follicular conjunctivitis
  • Nontender preauricular node
19
Q

Inclusion conjunctivitis- Dx

A
  • PCR or immunologic tests
20
Q

Inclusion conjunctivitis- Tx

A

Azithromycin

21
Q

Subconjunctival hemorrhage- Eti

A
  • Unilateral, spontaneous onset of bright red appearance
  • Rupture of small conjunctival vessel
  • Coughing or sneezien
22
Q

Subconjunctival hemorrhage- Sx

A

Bright red blood sub conjunctiva

- Absorbs in 2-3 weeks

23
Q

Subconjunctival hemorrhage- Tx

A
  • Reassurance
24
Q

Reactive conjunctivitis- Eti

A
  • Inflammatory arthritis triggered by GI or GU infection
  • Conjunctivitis, anterior uveitis
  • Ocular inflammation in 25% cases
25
Q

Reactive conjunctivitis- Sx

A
  • Intermittent
  • Scleral injection
  • Pain
  • Corneal clouding
26
Q

Reactive conjunctivitis- Tx

A

Underlying disease

  • NSAIDs
  • Glucocorticoids
  • Abx
  • DMARDSs