Optho Flashcards
Sticky discharge from eye
Feels like ‘rice grain’
Can be gritty
Bacterial Conjunctivitis Usually staph bur rice grain is chlamydial Gritty is bacterial Treatment: Chloramphenicol If chlamydial give oxytetracycline
Watery discharge from eye
Spreads over face
Can have rash around eye and nose
Viral conjunctivitis
Aciclovir
Contact lens wearer
Pain in eye with hypophyon
Bacterial keratitis
Ofloxacin drops
Really painful eye
loss of sensation
Can occur following URTI
Dendritic ulcer
Steroids
Aciclovir
Post surgical
Devastating Loss of vision
Endopthalmitis
Vancomycin
Cephalosporins
Vitrectomy if fails
Pain
Ptosis
Perinasal
Sight loss (red)
Orbital cellulitis
Broad spec ab (fluclox?)
Pizza pie fundus
cysts
Granulomas
Chorioenteritis
Severe needl like pain
Corneal ulcer
Ofloxacin
Aciclovir
Severe pain
Violet hue on fundoscopy
Pupil doesnt change
Scleritis
Confirm with phenylephrine (distinguish from epi)
NSAIDs and steroids
painless sudden visual loss
Pale retina with cherry macula
CRAO
Stroke clinic if transient
Ocular massage
Painless sudden visual loss
Widespread haemorrhae
tortous vessels
CRVO
Sudden visual loss
Floaters
No red reflex
Vitreous haemorrhage
painless
Flashing
RAPD
Retinal detachment
Sudden painless visual loss
old patient
Wet age related macular degeneration
Anti-VGF
Gradual visual loss
halo around lights
Unilateral
Glaucoma
Replace lens