EYE

Question 1

1st Line TX for infective conjunctivitis

Answer 1

Eye Hygiene
- use warm water and cotton pads
- swab the yes gently from inside corner to outside with one wipe
Use and new pad each time and for each eye.

Question 2

2nd Line Tx for infective Conjunctivitis (drug Tx)

Answer 2

chloramphenicol
-use in 2 years +
- ONE drops very 2 hours for first 48 hours then
ONE drop every 4 hours
MAX 5 day use

if chlorampheniol not suitable
- propamidine isethionate (brolene) eye drops
- over 12 years
- 1-2 drops in affected eye QDS
- If no improvement after days seek medical advice.

Question 3

Overall RED Flags

Answer 3

• hard stone-like lump in eye
• due to injury/ trauma
• loss of vision
• severe pain , esp behind the eyes
• acute glaucoma - pressure behind eye, associated headaches, blurred vision, hard and tender eye, hazy cornea
• inflammation of the iris
• corneal ulcer
  -photophobia

Question 4

symptoms of bacterial conjunctivitis

Answer 4

• can be one or both eyes
• sticky yellow/green discharge around eyelashes typically in the morning.
• some redness to the whites of the eyes.

Question 5

symptoms of viral conjunctivitis

Answer 5

think pink eye
watery eyes
redness of eye
can sometimes experience blurred vision
often follows recent cold/sore throat (upper respiratory tract issues)

Question 6

symptoms of allergic conjunctivitis

Answer 6

tends to be both eyes
redness
usually eyes fell gritty

Question 7

DRY eyes
symptoms and treatment

Answer 7

• dry, gritty, irritated eyes
• can also be water

TX
- artificial tears (hypermellose / carbomers
- lubricants

Question 8

Blepharitis
symptoms, treatment and when to refer

Answer 8

chronic condition no cure

TX
1st line - eyelid hygiene
if infection present can use chloramphenicol eye drops

Refer
if underlying condition exacerbating the condition e.g eczema / seborrhoeic dermatitis

Question 9

Styes
symptoms and treatment

Answer 9

lump on / under eyelid
painful
swelling
typically one eye affected

TX
eyelid hygiene
- brolene
1-2 drops in the affected eye up to 4 times a day, if not improvement
-golden eye ointment
apply topically one or twice daily

advise patient
-do not puncture the stye
-to keep eyes clean and wash hand before and after touching eyes.
-don’t share towels
- if no improvement after 4 weeks seek medical help