ophthalmology Flashcards
Painful, red eye, increased lacrimation, blurry vision
Anterior uveitis
What condition is anterior uveitis associated with
Ankylosing spondylitis
what is the management of anterior uveitis?
urgent ophthalmology review,
cycloplegics (atropine) and steroids
unilateral reduced visual acuity, pain on moving eye
optic neuritis
loss of red colour vision
optic neuritis
what condition is optic neuritis associated with
multiple sclerosis
red eye, pain, tearing, loss of vision, gritty sensation
keratitis
which bacteria causes bacterial keratitis in contact lens wearers?
pseudomonas aerguinosa or staph aureus
whats the management of bacterial keratitis?
topical quinolones and cycloplegic for pain relief
what investigation is used for keratitis?
slit lamp
what is the management of bacterial conjunctivitis?
usually self limiting but chloramphenicol can be used in severe cases
what is the management of bacterial conjunctivitis in a pregnant woman?
fusidic acid in place of chloramphenicol
deep boring pain with severe red eye
scleritis
how do you differentiate between Scleritis and episcleritis
topical vasoconstrictors such as 10% phenylephrine
Scleritis is non blanching
sudden severe painful red eye, loss of visual acuity, fixed mid dilated pupil, nausea, headache
closed angle glaucoma
what is the management of closed angle glaucoma
- urgent ophthalmology review
- pilocarpine (meiotic) + IV acetazolamide (carbonic anhydrase inhibitor)
- bilateral peripheral iridectomy once acute phase settled