Eye Flashcards
Slowly progressing to tunnel vision
chronic glaucoma
Floaters in the vision
Posterior vitreous detachment
Flashes and floaters, followed by curtain falling over the vision
Retinal detachment
Painful red eye with foreign body sensation, photophobia, history of minor eye, drama or contact lens wearing. No discharge. Normal visual acuity
Keratitis- maybe viral or bacterial
If white spot seen on the cornea, most likely corneal ulcer caused by bacterial keratitis
Fluorescent sting should be done. If present over the white opacity- confirmed
Urgent referral to ophthalmology. Will require antibiotics.
Viral keratitis may show dendritic branching pattern caused by hsv. Consult of theology immediately.
Extremely painful, red eye with decreased visual acuity, and mid dilated fixed pupil, along with hazy cornea associated with headache, nausea
Acute angle closure glaucoma
Refer to ophthalmology immediately for treatment. Period will require topical, beta blocker, anticolic, as well as Iv acetazolamide and iv mannitol
Patient presenting with head, sculpt, tenderness, geolocation, fatigue, night sweats, and vision loss
Most likely optic neuritis secondary to giant cell arteritis
ESR will be elevated.
Referral to ophthalmology immediately.
Require high dose prednisone usually IV . Confirmation is with temporal artery biopsy.
Red hyperpurulemt, sticky eyes in a neonate
Bacterial conjunctivitis.
Consult pediatrics. May Require admission tothe NICU
Ophthalmology consult immediately
Systemic Antibiotics
Bilateral red eyes with watery discharge and pruritus
Most likely allergic conjunctivitis.
Conjunctiva may show cobblestoning
Unilateral red eye that becomes bilateral, with watery discharge, no pain may have foreign body sensation along with preauricular lymphadenopathy
Most likely viral conjunctivitis.
Maybe proceeded by an upper respiratory tract infection
When should bacterial conjunctivitis be referred to ophthalmology
If the bacterial conjunctivitis is severe, chronic or risk factors for gonococcal or chlamydial
When should antibiotic drops be prescribed for bacterial conjunctivitis rather than watching for self resolution?
In healthcare workers.
Patients and healthcare facilities.
Immunocompromise.
Uncontrolled diabetes.
Contact lenses who should get ciprofloxacin eyedrops
Those with recent oculus surgery
History of dry eyes.
Most will prescribe tobramycin eyedrops 
Severely painful red eye with circumcorneal injection, photophobia, blurred vision, no discharge
Most likely anterior uveitis also called iritis.
Will require topical steroids.
Look for possible diagnosis of IBD, reactive, arthritis, SLE, and ankylosing spondylitis
Diffusely, tender globe with red eye, and photophobia and decreased visual equity without any systemic symptoms
Scleritis.
Ophthalmological emergency referee immediately 
Red eye without discharge and without pain
Most likely conjunct haemorrhage or dry eyes
Red eye with discharge
Bacterial conjunctivitis, viral conjunctivitis allergic conjunctivitis based on history
