Corneal disorders

Question 1

Difficulty opening eye, blepharospasm, conjunctival injection, excessive tearing

Answer 1

Corneal abrasion

Question 2

Causes of corneal abrasion

Answer 2

Over worn/ill-fitting contacts
Chronic dry eye
Trauma
FB

Question 3

Corneal abrasion DX tests

Answer 3

Slit lamp exam w/ fluorescein dye

Question 4

Corneal abrasion TX

Answer 4

Topical anesthetic drops
PO analgesics

Question 5

Corneal abrasion TX for contact wearers

Answer 5

Ophthalmic ABX

Question 6

Epithelial dendrites seen w/ fluorescein staining

Answer 6

HSV keratitis

Question 7

Unilateral, mild injection, stromal scarring, irritation

Answer 7

HSV keratitis

Question 8

HSV keratitis TX

Answer 8

Urgent referral to eye MD
Topical antivirals

Question 9

Vesicular blistering rash on upper eyelids and medial forehead, HA, glaucoma, conjunctivits

Answer 9

HZV Ophthalmicus

Question 10

HZV Ophthalmicus TX

Answer 10

Zostavax vaccine
Acyclovir/Valacyclovir PO x7-10 days

Question 11

Gradually progressive blurry vision that cannot be corrected, halos around lights, poor night vision

Answer 11

Keratoconus

Question 12

TX for early stage or mild keratoconus

Answer 12

Gas permeable contacts
Laser correction

Question 13

TX for later stage/severe keratoconus

Answer 13

Keratoplasty
Corneal transplant

Question 14

Dense corneal infiltrate, hypopyon, decreased vision, hx of trauma/abrasion

Answer 14

Corneal Ulcer

Question 15

Corneal ulcer TX

Answer 15

Emergent referral to ophthalmologist

Question 16

Fleshy mass that extends from conjunctiva into cornea, gritty/FB sensation

Answer 16

Pterygium

Question 17

Pterygium is also known as?

Answer 17

Surfer’s Eye

Question 18

Pterygium is caused by

Answer 18

Chronic exposure to sunlight and wind