Inflammatory Eye Disease

Question 1

How to patients typically describe

1. Anterior uveitis
2. Intermediate uveitis
3. Posterior uveitis
4. Panuveitis

Answer 1

1. Pain, redness, light sensitivity
2. Floaters, blur
3. Blur, blind spots
4. Red, pain, blur, floaters

Question 2

Non vision threatening causes of red eyes

Answer 2

Dry eyes
Blepharitis
Chalazia
Viral conjunctivitis
Allergic conjunctivitis
Subconjunctival hemorrhage
Medicamentosa

Question 3

Red flags to refer for a red eye

Answer 3

Moderate-severe pain
Contact lens wearer
Reduced vision
Distorted pupil
Significant corneal involvement
Unusual history

Question 4

Dry eyes

Answer 4

Multifactorial cause, from aqueous tear layer deficiency
Clues: burning, irritation, mild itch/discharge, worse at days end/reading/computer use
Treat with artificial tears of topical immune modulators

Question 5

Blepharitis

Answer 5

From inflammation, dysfunction, keratinization or meibomian glands and lipid tear layer deficiency
Clues: burning, irritation, mild itch/discharge, worse in morning, eyelids red, hx of styes
Treat with warm compress

Question 6

Subconjunctival hemorrhages

Answer 6

Fragile capillaries in elderly or trauma
Mild irritation, vision is totally fine
Will heal on own

Question 7

Viral conjunctivitis

Answer 7

Adenovirus or enterovirus
VERY contagious
Unilateral to bilateral, lots of discharge, vision intact, often hx of URTI
Supportive treatment

Question 8

Allergic conjunctivitis

Answer 8

Type 1 hypersensitivty (atopy, contact, allergens)
Puffy eyes, conjunctival edema, watery discharge, ITCHY
Treat with cool compresses, artificial tears, allergen avoidance

Question 9

Corneal ulcers/keratitis

Answer 9

Usually significant pain and reduced vision, usually infectious etiology
Intensive topical abx to treat
Topical steroids make much worse!