Eye 2

Question 1

chalazion (Ka lazi en)

Answer 1

blockage of meibomian (MY-bomian) gland leading to chronic noninfectious granulomatous inflammation of the eyelid

Question 2

blockage of meibomian gland leading to chronic noninfectious granulomatous inflammation of the eyelid

Answer 2

chalazion

Question 3

chalazion history and clinical presentation
3

Answer 3

1. nontender firm lesion
2. present weeks or longer
3. occasionally evolves from hordeolum/stye

Question 4

nontender, firm lesion on eye

Answer 4

chalazion

Question 5

chalazion physical exam

Answer 5

comprehensive eye exam w/ special attention to everting the eyelid

Question 6

chalazion imaging/testing

Answer 6

none usually

Question 7

chalazion tx and disposition
3

Answer 7

1. warm compress
2. consider abx if extensive inflammation or susp. infectious etiology
3. refer to ophth. for f/u in cases of obstructed vision or sx persist

Question 8

hordeolum

Answer 8

aka stye - acute focal inflammation/infection of the eyelid gland (usually s. aureus)

Question 9

aka stye - acute focal inflammation/infection of the eyelid gland (usually s. aureus)

Answer 9

hordeolum

Question 10

hordeolum - history and clinical presentation (w/ three risks)
4

Answer 10

1. tender nodule at lid margin
2. may be erythematous and edematous
3. tearing
4. risks factors - contacts, contaminated makeup, diabetes

Question 11

tender nodule at lid margin, tearing

Answer 11

hordeolum/stye

Question 12

hordeolum physical exam - perform what

Answer 12

comprehensive eye exam w/ special attention to everting the eyelid

Question 13

hordeolum imaging/testing

Answer 13

none usually

Question 14

hordeolum/stye tx and disposition
3 (non pharm, pharm, fu)

Answer 14

1. warm compress - most are self limiting and resolve in 1-2 weeks
2. abx ointment if infection extends beyond eyelid
3. ophth. if vision is obstructed

Question 15

corneal abrasion

Answer 15

injury to the corneal epithelial surface

Question 16

injury to the corneal epithelial surface

Answer 16

corneal abrasion

Question 17

corneal abrasion - history and clinical presentation
4

Answer 17

1. typically caused by trauma or scratch
2. foreign body sensation, sharp pain w/ blinking, tearing
3. photophobia
4. contact lens use

Question 18

foreign body sensation, sharp pain w/ blinking, photophobia

Answer 18

corneal abrasion

Question 19

corneal abrasion - physical exam
4

Answer 19

1. visual acuity
2. every eyelid
3. fluorescein exam
4. slit lamp exam if available

Question 20

corneal abrasion - healing takes how long

Answer 20

1-3 days

Question 21

corneal abrasion - prophylaxis tx

Answer 21

tetanus shot

Question 22

corneal abrasion tx - non contact wearers w duration

Answer 22

3-5 days
erythromycin 0.5% ointment, 1/2 in ribbon q6h

Question 23

corneal abrasion tx - contact lens user

Answer 23

5 days
ciprofloxacin 0.3% 2 gtt q6h

Question 24

traumatic iritis

Answer 24

inflammation of the anterior chamber after trauma

Question 25

inflammation of the anterior chamber after trauma

Answer 25

traumatic iritis

Question 26

traumatic iritis - hx and clinical presentation 4

Answer 26

1. blunt ocular trauma 2. pain starts 1-3 days after trauma 3. photophobia, tearing 4. decreased visual acuity

Question 27

blunt ocular trauma, pain, photophobia, tearing, decreased visual acuity

Answer 27

traumatic iritis

Question 28

traumatic iritis - physical exam 3

Answer 28

1. comprehensive eye exam 2. no pain relief from topical anesthetic 3. perilimbal injection (ciliary flush)

Question 29

traumatic iritis - tx/disposition

Answer 29

consult opthal. if visual loss topical cycloplegi

Question 30

acute angle closure glaucoma

Answer 30

obstruction of the outflow of aqueous humor from the anterior chamber resulting in increased intraocular pressure

Question 31

obstruction of the outflow of aqueous humor from the anterior chamber resulting in increased intraocular pressure

Answer 31

acute angle closure glaucoma

Question 32

acute angle closure glaucoma - hx and clinical presentation 5

Answer 32

1. sudden onset of severe eye pain 2. "halos" around lights 3. blurred vision 4. frontal HA 5. N/V

Question 33

acute angle closure glaucoma - physical exam 4

Answer 33

1. conjunctival injection 2. fixed, mid-dilated pupil 3. cloudy cornea 4. hard globe on palpation

Question 34

acute angle closure glaucoma - tx

Answer 34

emergent, send to ER

Question 35

acute angle closure glaucoma - img/test

Answer 35

tonometry - intraocular pressure measurement > 21 mmhg