Eye Flashcards
FB sensation + irritation + burning?
ectropion
entropion
acne rosacea
acute viral conjunctivitis
Ectotropion vs endotropion?
ecto- lid is turned out
endo - lid it turned in
Ectotropion vs endotropion? - Cx?
ecto - age, BELL PALSY
endo - scarring, trauma
Ectotropion and endotropion tx?
tape lid
artificial tears
surgery
Keratitis on eyelid?
endotropion
FB sensation + irritation + burning + DECREASE IN VISION + BILATERAL?
blepharitis
Which blepharitis has highest risk for hordeolum/chalazion?
meibomian
Tx for blepharitis - staph and infectious?
HOT compress
staph - bacitracin, erythormycin
infectious - tea tree oil
Tx for acne rosacea?
tea tree oil
antifungal - metronidazole
NO ETOH and spicy
Hordeolum vs chalazion?
hordeolum HURTS
chalazaion does NOT
BLOCKED meibomian gland?
chalazion
How does hrodeolum occur?
bugs from s. abscess
Tx for hordeolum?
WARM compress
severe - prophylaxi abx (TMP-SMX)
Tx for chalazion?
WARM compress
I&D
Complications w/ hrodeolum?
periorbital cellulitis
orbital cellulits
Pinguecula vs pterygium?
pinguecula does NOT affect cornea
pteryguim AFFECTS cornea
Cx of pinguecula and pteryguim?
INCREASE UV RAY EXPOSURE
Tx for pinguecula vs ptergyuim?
BOTH: avoid UV
pinguecula - severe: topical corticosteroids
pterygium - surgery
Bug for acute viral conjunctivitis?
adenovirus
Bugs for bacterial conjunctivitis?
s. aureus
s. epidermidis
s. pneumoniae
h. influenzae
What else to check for w/ bacterial conjunctivitis?
ear: AOM and otitis externa
How to tx acute viral conjunctivitis?
NOTHING
tears
How to tx bacterial conjunctivitis?
fluoroquinolone ophthalmic ointment
tirmethroprim -polymyxin B drops
FB sensation + irritation + burning + pruitic?
allergic conjunctivits
PE for allergic conjunctivitis?
cobblestoning
Edematous lids + burning + PURULENT DISCHARGE?
bacterial conjunctivitis
Tx for allergic conjunctivitis?
antihistamines
Pt has decrease central vision loss?
cataracts
age related macular degeneration
How to differentiate cataracts and ARMD?
cataracts - GLARE when driving, altered red reflex
ARMD - can be WET or DRY
Subretinal hemorrhaging + exudates?
wet ARMD
Drusen (yellow spots)?
DRY ARMD
Tx for cataract?
artificial lens
Tx for ARMD?
refer
Pt smokes + CVA + obesity + vision loss?
ARMD
Pt has SUDDEN vision loss?
closed glaucoma
Pt has PERIPHERAL loss?
open glaucoma
Patho of glaucoma?
increase of intraocular pressure –> damages optic nerve
Which glaucoma is MEDICAL EMERGENCY?
closed glaucoma
PE: Changes in optic to disc ration?
open glaucoma
What is “lazy eye”?
strabismus
misalginment of the eye
How to tx strabismus?
patch to center eye
Pt has decrease of acuity and vision after getting hit by ball in the eye?
hyphema
Pt has extoropia (cannot look into eye) and paralytic (tilts head)?
strabismus
Tx hyphema?
decrease BP
bed rest at 30 deg
eye shiled
pain control and N&V
DO NOT MISS IN HYPHEMA?
ORBITAL/GLOBE fracture
Pt has decrease in acuity + color + vision + MS?
optic nueritis
Tx for optic neuritis?
IV methylprednisolone
Imaging for optic neuritis?
MRI
Pt has unilateral + PAIN + redness d/t inflammation of lacrimal gland?
dacroadenitis
Bugs for dacroadenitis?
bacterial - staph, gonorrhea
viral- EBV, HSV
Sx for dacrocystitis?
pain
unilateral
redness
epiphora - a LOT of tears
Locations for dacroadenitis and dacrocystitis?
dacroadentitis - supratemporal
dacrocystitis - inframedial
Tx for dacrocystitis?
topical steroids
Tx for acute dacroadentitis?
augementin - bacterial
Tx for chronic dacroadentitis?
acyclovir - viral