Red Eye 2 Flashcards
What are the features of Viral conjunctivitis?
Inc period 5-12 days Watery discharge Irritiation Contageous for 10-12 d Palpable preauricular LN URI, pharyngitis, fever
What is the Tx of Viral Conjunctivitis?
Avoid Close Contact
Sx relief: Antihistamines, Abtx, cool compress
Corticosteroids? Caution!
Antivirals: Gancyclovir
Povidone Iodine 2.5% (sterilize for cataracts surgery)
How is HSV Eye disease diagnosed?
Vesicles on skin/eye margin
Conjunctival follicular rxn
Epithelial Keratitis
Preaur LAD
What is the Tx of HSV Eye disease?
Oral Antivirals speeds resolution.
Topicals work too
What are the Common causes of Bacterial Conjunctivitis?
Staph, strep, Haemophilus, Pseudomonas
WHat is the Tx of Bacterial Conjunctivitis?
Neomycin
Tobramicin
Erythromycin ointment
Bacitracin
What is the Etiology of Neonatal Conjunctivitis?
Chemical Gonococcal Staphylococcal Chlamidial Herpes SYSTEMIC!
What is the Tx of Bacterial Corneal Ulcers?
Refer to opthamologist
Tx with fluoroquinolones
No response? Scraping, culture and find sensitivities
What is the common Bacterial infection in contact wearers?
Pseudomonas
What is the Appearance of HSV eye infection?
Bright, branching growth with bulbs on end
Why should you avoid Topical Steroids in HSV eye disease?
Exacerbates Herpes keratitis
Elevates IOP(glaucoma)
Causes Cataracts
Fungal corneal ulcers
What is the Tx of Conjunctival Hemorrhage?
Harmless, spon resolution
What are the features of Iritis?
Circumcorneal Injection Pain Photophobia Dec Vision Miotic Pupil Recognize and refer
How is Uveitis Treated?
Topical Steroids
Periocular Steroids
Systemic Steroids
What meds should NEVER be prescribed?
Topical anesthetics (inh growth and healing of epithelium) Topical Steroids
