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Ocular Disease > Ocular Allergy > Flashcards

Ocular Allergy Flashcards

1
Q

What diseases can follicles be found?

A

Viral

Toxic

Chlamydial Disease

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2
Q

Compare the vasculature of follicles to papillae.

A

Papillae are tissues masses w/ a central vessel tuft while follicles have a central avascular zone

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3
Q

What diseases do papillae occur in?

A

Allergic

Bacteria

Chlamydial

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4
Q

Compare the origin of papillae to follicles.

A

Papillae are a focal infiltration of inflammatory cells while follicles are expansions of the lymph system.

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5
Q

What part of the conjunctiva do papillae and follicles occur?

A

Papillae occur on the upper and lower palpebral conjunctiva while follicles occur on the inferior palpebral conjunctiva

Follicles also are usually accompanied by preauricular adenopathy.

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6
Q
A

Bacterial conjunctivitis with diffuse papillary hypertrophy response

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7
Q

What is a good non-medication way to treat seasonal/perennial allergic conjunctivitis?

A

Lubricants and cold compresses

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8
Q

What is a vasoconstrictor you can use to treat allergic conjunctivitis and what should you take caution with while using it?

A

Naphcon

Be cautious of rebound

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9
Q

Name some mast cell stabilizers to use while treating allergic conjunctivitis.

A

Pemirolast (Alamast)

Nedocromil (Alocril)

Iodoxamide (Alomide)

Cromolyn sodium (Crolom)

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10
Q

Name some antihistamines that can be used to treat allergic conjunctivitis.

A

Emedastine (Emadine)

Levocabastine (Livostin)

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11
Q

What NSAID should you use to treat allergic conjunctivitis?

A

Keratolac (Acular)

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12
Q

Name some steroids you should use for allergic conjunctivitis patients?

A

Lotoprednol (lotemax, alrex)

Prednisone (Forte 1%, pred mild 0.25%)

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13
Q

How much of the general population has Eczematous dermatitis and what specific groups is greatest?

A

5-20%

Greatest in pediatrics

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14
Q

What should you use in your ocular allergy patients with rhinitis?

A

Oral antihistamines

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15
Q

What percent of atopic disease patients have atopic keratoconjunctivitis?

A

25-45%

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16
Q
A

AKC

17
Q

What are the signs and symptoms of AKC?

A

Chemosis

Hyperemia

Papillary hypertrophy

Scarring

Itching, Tearing, Irritation

Stringy Mucous Discharge

Lids Sticking in AM

Eyelid issues

Chronic throughout the year

18
Q

What are the eyelid issues associated with keratoconjunctivitis?

A

Flaking, scaling dermatitis, excoriated lesions

Madarosis

Periorbital hyperpigmentation

Thickening of margins

19
Q

What are some ways to treat AKC?

A

Eliminate environmental antigens

Treat blepharitis w/ lid scrubs, warm compresses and massage w/ antibiotic ung and cool compresses for itch

Restasis

Ocular lubricants

Topical steroid to lids

20
Q

How is VKC different from AKC?

A

Presents at younger ages

Burns out by late puberty

Less sight threatening

Spares the skin and eyelid margins

GPC on upper tarsus

Cornea Horner-Trantas dots at limbus

21
Q
A

Giant (cobblestone) papillae

22
Q
A

VKC Limbal Papillae

23
Q
A

Gelatinous eosinophilic infiltrates in VKC

24
Q

What disease are these found in?

A

VKC

25
Q

What are Horner-Trantas Dots?

A

Punctiform calcified concretions at apex of mucoid nodules.

26
Q
A

Giant Papillary Conjunctivitis

27
Q

What are the Hallmarks of GPC?

A

Itching

Redness

Burning

Mucous

28
Q

What happens when a patient has GPC and are contact lens wearers?

A

Decreased tolerance

Excess lens movement

FB sensation w/o lens

29
Q

Where do GPC’s occur with soft CL wearers?

A

Near upper tarsal plate and progresses to all zones.

30
Q

Where do GPC’s occur in RGP wearers?

A

Near lid margin

31
Q

What are treatment options for GPC?

A

Remove offending agent

Steroids (lotoprednol)

Mast Cell Stabilizers (Alaway)

NSAIDs

32
Q

What type of hypersensitivity is contact dermatitis?

A

Type 4 delayed

33
Q

What sort of ocular abnormalities are associated with Contact Dermatitis?

A

Erythema

Scaling

Edema

Fissuring

Itching

Papillary Conjunctivitis

34
Q
A

Contact Dermatitis

35
Q
A

Contact Dermatitis

Ocular Disease (7 decks)

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