corneal abrasions Flashcards

1
Q

what

A

scratches or damage to cornea

cause of red painful eye

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2
Q

common causes

A
contact lenses
foreign bodies
fingernails 
eyelashes
entropion
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3
Q

if assoc with contact lenses

A

may be psuedomonas infection

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4
Q

important differential diagnosis

A

herpes keratits (mx = antiviral eyedrops)

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5
Q

features

A
painful red eye
foreign body sensation 
watery eye 
blurring vision 
photophobia
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6
Q

Dx

A

fluorescein stain

slit lamp examination

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7
Q

Mx

A

consider same day referral

remove foreign body 
simple analgesia 
lubricating eye drops 
antibiotic eye drop (chloramphenicol) 
follow up in 24hrs
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8
Q

Mx - chemical abrasions

A

immediate irrigation for 20-30min

urgent referral

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