Red Eye

Question 1

How is anterior blepharitis treated?

Answer 1

Cleanliness of lid margins, eyebrows, and scalp
Remove scales with hot washcloth and baby shampoo
Anti-staphylococcal ointment to lid margin with exacerbation: bacitracin or erythromycin

Question 2

How is posterior blepharitis treated?

Answer 2

Regular meibomian gland expression
Hot wash cloth with expression
Lid massage

Question 3

How is anterior/posterior blepharitis with inflammation of conjunctiva and cornea treated?

Answer 3

Long term low dose antibiotic therapy: tetracycline, doxycycline, minocycline
short term topical corticosteroids: prednisolone

Question 4

How is acute dacryocystitis treated?

Answer 4

Lacrimal sac massage
If mucopurulent discharge without other infection: topical antibiotics with tobramycin sulfate or moxifloxacin
If other signs of infection (erythema/swelling): systemic antibiotic therapy with augmentin; surgery: elective or emergent

Question 5

How is chronic dacryocystitis treated?

Answer 5

kept latent with antibiotics
Surgery to relieve obstruction: dacryocystorhinostomy