Eye Infections Flashcards
What leads to swelling of the eyelids?
Stye (Hordeola)
Inflammation of the conjunctiva is known as…
conjunctivitis
How is inflammation of the cornea called?
Keratitis
Inflammation of the cornea and the retina is called?
What is a chalazion?
It is a focal, chronic, lipogranulomatous inflammation of Zeis/meibomian glands
What is a hordelea/hordeleum?
Abscess forming infection of the eyelid that presents as a localized painful and erythematous swelling
A hordeolum involves what?
An infection of the glands of the eyelid that may be either internal or external. If the inflammation is due to a internal gland, the meibomian gland is probably responsible. If an external gland is inflamed, the gland of zeis or moll is involved
Chazalion involves what?
A sterile, chronic inflammation that results from a blocked meibomian gland
A chazalion infection may develop from?
An internal hordeleum
Which organism is heavily associated with hordeleum?
Staphylococcus aureus
Which other bacterium is involved in the formation of stye in some patients?
Propionibacterium acnes
P acnes is gram what?
Positive
What is the shape of P acnes?
Cocco bacillus (short rod)
P acnes can arrange how?
In chains or in clumps
Is P acnes motile?
No
Does P acnes form spores?
No
Is P acnes part of the normal flora?
Yes
Where can we find P acnes in the body?
Skin, conjunctiva, external ear, oropharnyx, female genital tract
What are some manifestations of the eyelid infections?
Acute, swollen, edematous, normal visual acuity, normal eye function, conjunctivitis, mucopurulent discharge, sensitivity, pustule
Which type of cancer may be misdiagnosed with recurrent or persistent hordeleas?
Basal cell carcinoma
What can cause an eye lid infection?
skin conditions, eye makeup, blockage, inflammation
Eye lid infections can be self limited? If so, how long do they take to go away?
1-2 weeks
What should a patient do as a home remedy to treat an eyelid infection?
Apply Warm compress for 10 minutes
If the external hordelia is big and causing the patient discomfort, what procedures can be done?
Lancing or epilating
What is the treatment for internal hordeleas?
A warm compress and also an antibiotic ointment such as nafcillin, oxacillin
If a patient presents with complications with cellulitis or has multiple / recurrent lesions, what antibiotic is considered?
Doxycycline
Inflammation of the conjunctiva can be…
Bulbar or palpebral meaning that if it’s bulbar the part of the conjunctiva that we can see convering the sclera is what is infected. The palpebral part of the conjunctiva is the one that folds that is going to start covering the eyelid on the inner side
What characteristic is found in conjunctivitis?
Pink eye
Conjunctivitis can be caused by what two agents?
Bacteria or viruses
Bacterial conjunctivitis is associated with what?
Otitis media
Viral conjunctivitis is associated with what?
Pharyngitis
Which two microorganisms are known to be a cause of bacterial conjunctivitis?
Haemophilus influenzae and streptococcus pneumoniae
Which virus is known to a cause of viral conjunctivitis?
Adenovirus
what other viral agents can cause conjunctivitis?
Enterovirus (infants and children)
What viruses can cause severe conjunctivitis?
Herpes simplex 1 and 2
Which bacteria can cause a severe case of conjunctivitis ?
Neisseria meningitidis
Which bacteria can cause vision loss in neonates?
Neisseria gonorrhea
Which bacteria can causes urethritis in adults?
Neisseria gonorrhea
Which bacteria can cause pneumonia in neonates?
Chlamydia trachomatis
Which other bacteria can cause disseminated urethritis in adults?
Chlamydia trachomatis
What are some manifestations of conjunctivitis?
Inflammation, blood vessel dilation (cause of pink eye), fullness, burning, grit, foreign body, excessive tearing
Bacterial conjunctivitis will cause…
purulent discharge
what other manifestations can be seen in conjunctivitis?
Petechial hemorrhages, lymphatic tissue hypertrophy, preauricular lymphadenopathy, photophobia
Neonates are susceptible to what condition during the first 10 days of life?
Opthalmia neonatorum
Can be caused by chlamydia/gonorrhea/HSV
Which class of chlamydial infection will lead to red itchy eyes and pues formation 5-10 days post birth
D-K
Which subtypes of chlamydia causes entropion?
A-C
Which other bacteria is also responsible for a red itchy eye with ours formation 5-10 days post birth?
Neisseria gonorrhea