Lecture 16 Acute Red Eye Flashcards
What history would you look for in acute red eye
Redness Pain Discharge Photophobia Flashing lights and floaters Blurred vision
How would you examine someone with suspected acute red eye
- Snellen chart
- Binocular Indirect Ophthalmoscope
- Staining with fluorescence- outlines epithelial defects
- Fundal examination- direct ophthalmoscope, slit lamp and volk lens
Name the causes of Infective Conjunctivitis
- Adenoviruses
- Some types of herpes virus
- Staphylococcus aureus
- Streptococcus pneumoniae
- Haemophilus species
- Chlamydia trachomatis
Name the symptoms of Infective Conjunctivitis
- Gritty
- Red
- Discharge (purulent/watery)
How is Infective Conjunctivitis treated
Topical antibiotcs
Name the causes of Allergic Conjunctivitis
Pollen
Mould Spores
What are the symptoms of Allergic conjunctivitis
- Itchy
- Red
- Discharge (mucoid/watery)
- Acute
- Lid swelling
- Conjunctival swelling (chemosis)
Treatment of Allergic Conjunctivitis
Topical antihistamines
Avoid allergen
Mast cell stabilisers
What are the causes of coral abrasion
Trauma to the eye
What are the signs and symptoms of corneal abrasion
- Pain
- Watering
- Blurred vision
- Epithelial defect
Treatment of coral abrasion
Topical antibiotcs
Analgesia
Cause of acute anterior uveitis
- Injury or infection
- Inflammation elsewhere in the body
- Most patients are over the age of 20 years
Sign and symptoms of acute anterior uveitis
- Pain
- Watering
- Photophobia
- +/-Blurred vision
- +/- floaters
- Red
- Cells in anterior chamber
- Hypopyon- leukocytic exudate
- Small irregular pupil
Treatment of acute anterior uveitis
Topical steroids
Dilating drops
Causes of Scleritis
- Pseudomonas
- Fungi
- Mycobacterium
- Viruses
- Parasites
- Trauma
- Chemical exposure
- Postsurgical inflammation
