Eye And Ear Flashcards

1
Q

allergic conjunctivitis symptoms

A

Usually bilateral (effects both eyes)
irritation
discomfort
water discharge

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2
Q

Infective conjunctivitis can be …… or …….

A

Bacterial
Viral

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3
Q

Bacterial conjunctivitis vs viral conjunctivitis

A

Bacterial has a sticky purulent discgarge whereas viral conjunctivitis is more watery discharge

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4
Q

Allergic vs infective conjunctivitis

A

Allergic conjunctivitis usually bilateral
Infective can be unilateral or bilateral

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5
Q

When do you rule our presence of a foreign body in eye conjunctivitis

A

If one eye is affected

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6
Q

When to refer in conjunctivitis

A

Painful red eye
Redness extending to the iris
Photophobia
Vision affected (loss/blurred vision)
Pt using other eye drops/ointments
Suspected foreign body in yeye
Irregular pupil
Eye/head injury
Eye looks cloudy
Symptoms last longer than 2 weeks
Pregnant /breastfeeding

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7
Q

Can chloramphenicol eye drops be used in pregnancy?
Orally?

A

Avoid unless essential—no information on topical use but risk of ‘neonatal grey-baby syndrome’ with oral use in third trimester.

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8
Q

Can chloramphenicol be used when breastfeeding

A

Avoid; may cause bone-marrow toxicity in infant;
concentration in milk usually insufficient to cause ‘grey syndrome

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9
Q

Treatment options for bacterial conjunctivitis

A

Chloramphenicol
Propamidine isetionate

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10
Q

Whats the first line treatment for bacterial conjunctivitis
Whats it’s brand name

A

Chloramphenicol
Optrex infected eye drops

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11
Q

Whats the chloramphenicol course duration for conjunctivitis

A

5 day course

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12
Q

Whats the chloramphenicol % for eye drops and ointment

A

0.5% eye drops

1% ointment

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13
Q

Whats the chloramphenicol eye drops dose for bacterial conjunctivitis

A

One drop into affected eye/s every 2 hours for the first 48hrs then one drop every 4 hours for remaining 3 days

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14
Q

Wheres chloramphenicol eye drops stored

A

In the fridge (2-8 degrees)

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15
Q

Whats the OTC age for chloramphenicol eye drops

A

Aged 2 and over

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16
Q

Whats the storage for chloramphenicol eye ointment storage

A

Store at room temperature

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17
Q

Chloramphenicol eye ointment dose

A

Apply 3-4 daily

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18
Q

Why cant you give chloramphenicol to new born infants

A

Risk of grey baby syndrome (aplastic anaemia) in new born infants

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19
Q

Brolene and golden eye drops active ingredient and indication

A

Propamidine isetionate
Bacterial conjunctivitis and blepharitis

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20
Q

Propamidine isetionate dose for bacterial conjunctivitis

A

QDS

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21
Q

Storage of Propamidine isetionate/ brolene, golden eye drops

A

Room temperature

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22
Q

Age restrictions of brolene and golden eye drops

A

No age restrictions

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23
Q

Allergic conjunctivitis treatment

Brand?

A

Sodium cromoglycate 2% eye drops
Optrex allergy

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24
Q

Sodium cromoglycate 2% MOA

How do you use it

A

Mast cell stabiliser
Requires regular use

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25
Q

Can sodium cromoglycate 2% be used alongside oral antihistamine treatment

A

Yes it is safe to do so

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26
Q

Sodium cromoglycate 2% age restrictions

A

Licensed for 6 years and above

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27
Q

Allergic conjunctivitis treatment

A

Sodium cromoglycate 2%

28
Q

Contact lenses advice in Conjunctivitis

A

They shouldn’t be worn until 24hrs after the infection has cleared

29
Q

Eye drop preparations expire …. Days after opening

A

28 days

30
Q

Dry eye syndrome symptoms

A

Itchy, Tired, Burning sensation
Sensitive to light/ eye redness
String like mucus in eye
Night time driving difficulty
Difficulty wearing lenses
Feeling like somethings in the eye

31
Q

Is dry eye syndrome bilateral or unilateral

A

Usually bilateral

32
Q

Dry eye syndrome treatment

A

Artificial tears- hypromellose, carmellose, polyvinyl alcohol, carbomer gel

33
Q

Carbomer gel indication

A

Dry eye syndrome

34
Q

Polyvinyl alcohol indication

A

Dry eye syndrome

35
Q

Dry eye syndrome counselling on preservatives

A

Benzalkonium chloride is a preservative present in eye drops, if it causes eye irritation you can get preservative free preparations.

36
Q

Blepharitis symptoms

A

Itchy, sore, red eye life
Eyelids stick together when wake up
Eyelashes crusty/greasy
Edges of eyelids become swollen
Uncomfortable to wear lenses

37
Q

Is blepharitis bilateral or unilateral

A

Usually bilateral

38
Q

Blepharitis tends to be worse at what time of day?

A

Morning

39
Q

Blepharitis red flags

A

Unresponsive to treatment
Constant dry eyes
Concurrent conjunctivitis
Swelling on inside of eye lid
Stye
Photophobia, eye pain, worsening vision

40
Q

Blepharitis management

A

Self care

Propamidine isetionate- brolene and golden eye drops

41
Q

Propamidine isetionate dose for blepharitis

A

QDS

42
Q

Can blepharitis be cured

A

No, but symptoms can be managed

43
Q

Counselling patients on blepharitis

A

Avoid eye makeup unless easily washable

Can have preservative free preparations if irritation occurs with benzalkonium chloride

44
Q

Explain Blepharitis self care management

A

Warm compress in closed eyelid for 5-10 minutes (helps melt oils in glands behind eyelids)

Gently rub the eyelids vertically and horizontally and Can use cotton bud to loosen crusting or push out oils

Dont clean inside of eye just outside

45
Q

How frequently do you do self care management for blepharitis

A

BD a day and then OD when symptoms have improved

46
Q

Hows keratitis caused

A

Minor injury such as foreign body entering eye causing redness around iris

47
Q

Ear wax symptoms

A

Impaired hearing
Itchiness
Discomfort/pain

48
Q

What may cause ear wax

A

Change of ear wax environment in ear canal
Dust or foreign particles trapped in wax

49
Q

Ear wax red flags

A

Tinnitus (ringing in ears)
Persistent pain from within the ear
Unusual discharge from ear canal

50
Q

War wax management

A

Ear drops which soften ear wax to aid removal

Syringing/ ear irrigation

51
Q

Whats micro suction (used in ear wax)?

A

Ear wax is removed via suction

52
Q

Whats irrigation (ear wax management)

A

Using water as a vacuum to remove wax

53
Q

What risk is carried with micro suction and ear irrigation to remove ear wax

A

Ear infections risk

54
Q

What are the different types of ear drops used for ear wax

A

Water based - sodium bicarbonate

Oil based- olive oil, almond oil, cerumol, earex

Peroxide based- otec, exetrol (urea containing products)

55
Q

Ear wax counselling

A

Advise against use of cotton buds
Ideally wax should be cleared naturally

56
Q

What ear drops would you avoid in a patient with a nut allergy and why

A

Cerumol - oil based ear drop containing peanuts

57
Q

Whats otitis externa

A

Skin infection of outer Ear canal infection that leads into the ear drum (suspect bacterial cause)

58
Q

Otitis externa symptoms

A

Itching, pain/discomfort in the ear canal
Watery discharge (due to inflamed skin)
Dry, flakey skin around ear/ along the canal

59
Q

Otitis externa red flags

A

Deafness
Persistent pain from ear
Tinnitus
Blocked ears, discharge, bleeding
Nausea, vomiting
<12 years old

60
Q

What ages would you refer if they presented to you with otitis externa otc

A

Under 12 years old

61
Q

Otitis externa medication

A

Acetic acid 2% (ear calm)

62
Q

Acetic acid 2% / ear calm OTC age

A

12 yrs and over

63
Q

Acetic acid 2% (ear calm) dose for otitis externa

A

Use until 2 days after symptoms cleared- max 7 day use

64
Q

Chloramphenicol 0.5% eye drops max day use

A

5 days

65
Q

Acetic acid 2% (ear calm) max day use

A

7 days

66
Q

Whats audiclean

A

Audiclean is available otc to clean ears