inflammation and ulcers Flashcards
Corneal ulcers
are those in the centre or those in the periphery infectious? what is the basis of the other? examples
central corneal ulcers - infective
peripheral corneal ulcers - autoimmune e.g. RA, hypersensitivity, wegners
symptoms and signs of corneal ulcers
needle like pain photophobia profuse lacrimation may be reduced vision corneal reflex abnormal staining with fluorescin hypopyon
treating corneal ulcers
bacterial?
viral?
autoimmune?
bacterial - ofloxacin
viral - acyclovir
autoimmune - steroids
eye condition associated with GOUT
episcleritis
what can cause anterior uveitis?
malignancy - leukaemia
autoimmune - reiters, ulc colitis, ank spond, sarcoiditis
infective - TB, syphilis, herpes simplex, herpes zoster
management of anterior uveitis
topical steroids (pred forte 1% hourly - tapering over 4-8 weeks) mydriatics e.g. cyclopentolate
is scleritis painful?
serious or non serious?
painful
serious
what is scleritis associated with?
serious systemic vasculitides e.g. RA, wegners
violaceous hue
scleritis
treatment for scleritis
oral NSAIDs
oral steroids
steroid sparing agents
what types of patients commonly get idiopathic intracranial hypertension?
symptoms?
obese
severe throbbing headaches
drowsy, irritable, nausea, vomiting
subconjunctival haemorrhage
serious?
age group?
looks dramatic but not serious :)
goes away by itself
usually older patients
what is blepharitis?
inflamed eyelids
posterior blepharitis
mebaonian gland dysfunction
what is mebaonian gland dysfunction associated with?
acne rosacea