Ophthalmology - Red Eye Flashcards
features of allergic conjunctivitis?
mucous
itchy
features of viral conjunctivitis?
watery
follicles on underside of lid
features of bacterial conjunctivitis?
purulent
gritty eyes
stuck together
papillae on underside lid
common causes of bacterial conjunctivitis?
staph
streo
chlamydia
viral causes of conjunctivitis?
adenovirus (after URTI)
HZV
HSV
Tx for bacterial conjunctivitis?
clean eyelids
chloramphenicol 4xday
what is keratitis?
microbial invasion of the cornea
EMERGENCY
commonest cause of keratitis?
corneal ulcer (HS)
bacterial
fungal
viral
features of a corneal ulcer?
severe pain photophobia lacrimation reduced vision red eye ± hypophyn
features of viral keratitis?
bilateral
after URTI
Ix for corneal ulcer?
corneal scraping
+ microscopy/culture/PCR
Tx for viral corneal ulcer?
acyclovir if HS
steroids if adenovirus
features of orbital cellulitis?
painful decreased eye movements colour vision goes decreased visual acuity fever
how to differentiate orbital and peri orbital cellulitis?
orbital function remains
stye often causes
risks factors for orbital cellulitis?
sinusitis
post op
kids
Ix for orbital cellulitis?
CT
inflam markers
Tx for orbital cellulitis?
ceftriaxone + fluclox + met