Eye And Ear Flashcards
allergic conjunctivitis symptoms
Usually bilateral (effects both eyes)
irritation
discomfort
water discharge
Infective conjunctivitis can be …… or …….
Bacterial
Viral
Bacterial conjunctivitis vs viral conjunctivitis
Bacterial has a sticky purulent discgarge whereas viral conjunctivitis is more watery discharge
Allergic vs infective conjunctivitis
Allergic conjunctivitis usually bilateral
Infective can be unilateral or bilateral
When do you rule our presence of a foreign body in eye conjunctivitis
If one eye is affected
When to refer in conjunctivitis
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
Can chloramphenicol eye drops be used in pregnancy?
Orally?
Avoid unless essential—no information on topical use but risk of ‘neonatal grey-baby syndrome’ with oral use in third trimester.
Can chloramphenicol be used when breastfeeding
Avoid; may cause bone-marrow toxicity in infant;
concentration in milk usually insufficient to cause ‘grey syndrome
Treatment options for bacterial conjunctivitis
Chloramphenicol
Propamidine isetionate
Whats the first line treatment for bacterial conjunctivitis
Whats it’s brand name
Chloramphenicol
Optrex infected eye drops
Whats the chloramphenicol course duration for conjunctivitis
5 day course
Whats the chloramphenicol % for eye drops and ointment
0.5% eye drops
1% ointment
Whats the chloramphenicol eye drops dose for bacterial conjunctivitis
One drop into affected eye/s every 2 hours for the first 48hrs then one drop every 4 hours for remaining 3 days
Wheres chloramphenicol eye drops stored
In the fridge (2-8 degrees)
Whats the OTC age for chloramphenicol eye drops
Aged 2 and over
Whats the storage for chloramphenicol eye ointment storage
Store at room temperature
Chloramphenicol eye ointment dose
Apply 3-4 daily
Why cant you give chloramphenicol to new born infants
Risk of grey baby syndrome (aplastic anaemia) in new born infants
Brolene and golden eye drops active ingredient and indication
Propamidine isetionate
Bacterial conjunctivitis and blepharitis
Propamidine isetionate dose for bacterial conjunctivitis
QDS
Storage of Propamidine isetionate/ brolene, golden eye drops
Room temperature
Age restrictions of brolene and golden eye drops
No age restrictions
Allergic conjunctivitis treatment
Brand?
Sodium cromoglycate 2% eye drops
Optrex allergy
Sodium cromoglycate 2% MOA
How do you use it
Mast cell stabiliser
Requires regular use
Can sodium cromoglycate 2% be used alongside oral antihistamine treatment
Yes it is safe to do so
Sodium cromoglycate 2% age restrictions
Licensed for 6 years and above