OPTHAL 3 Flashcards
anterior blephirtis
SS: scales, dandruff
staph: involving lash follicles, ingrowing lashes, styes, ulcers of lid margin, corneal staining
posterior blephirits
redness in deeper part of lid margin
melatonin gland dysfunction - lid margin and lashes affected. MG opening pouted and swollen. dried secretions at openings. melatonin cysts. assoc w acne rosacea
symptoms of blephirits.
management
similar conjunctivitis. gritty eyes. FB sensation. mild dc
lid hygiene. daily bathing/warm compresses. supplementary tear drops. oral doxy 2-3 months
endopthalmosis is what cause symp cx rx
devastating infection inside eye.
post surgical or endogenous. staph. epidermis. commensals
v painful. decrease vision. red
sight threatening
intravitreal amikacin and vancomycin and topical ABs
central infective corneal ulcers causes
ix
managemetn
viral, fungal, bacterial, acanthamesia
flueroscene. scrape of micro
contact lens - oflaxacin
no contact lens - chloramphenicol
viral - acyclovir for 5d
peripheral h/s corneal ulcers
RA, h/s
needle like severe pain, photophobia, red, profuse lacramation, corneal reflex absent, hypopyon
anti inflam - oral/topical steroids pred 1%
episcleritis
symp
rx
commonly assoc with gout
recurrent nodules
self lim
NSAIDs. topical lubricants
scleritis assoc with what
symp
ix
rx
RA, wegners, CTD. assoc uveitis common
painful, injection of deep vascular plexus
phenylprine test
PO steroids
anterior uveitis cause
symp
ix
rx
AI, reactive arthritis, sarcoid, ank spond, IBD, syphilis, TB, malignancy, idioatpathic, trauma
pain, photophobia, red, charcoal colour viel, glued down pupil
ciliary injection, cells and flare in anterior chamber, keratonic precipitates, hypo-yon, small irregular pupil
topical steroids hourly, cyclopentolate
posterior uveitis causes
cx
more likely to be assoc with
sarcoid. MS. infections - toxoplasma, herpetic, syphilis, TB, idiopathic
more sight threatening
systemic conditions
bacterial conjuctive neonates cause other cause symp ix managemetn
c, g, SA
SA, pneumonia, HI (kids)
red eye, gritty, dc, sticky, itchy, vision unaffected
swab
self limiting usually. topical chloramphenicol
chlamydial conjucitivit
chronic history of bacterial conjunctivitis and young. not responding to teratement
urethritis, vaginitis, follicles in upper lid, sore when blinking, can cause sub tarsal scarring
contact tracing
viral conjuncitivits
red eye, water dc, assoc w cold
winter
adeno, HSV, herpes zoster
hutchersons sign - tip of nose involved in herpes zoster
bacterial keratitis assoc with
symp
ix
rx
assoc w contact lens
hypopyon, decreased vision, short history
scrapes. oflaxacin
viral keritis adenovirus
bilateral, may affect vision, sub epithelial infiltrates
topical AB to prevent secondary infections. chronic - steroids
