Red Eye

Question 0

OU

Answer 0

Both eyes

Question 1

OD

Answer 1

Right eye

Question 2

OS

Answer 2

Left eye

Question 3

Chemosis

Answer 3

Swelling, edema

Question 4

If iris is pushed out

Answer 4

you get a crescent shadow - it’s glaucoma

Question 5

Anatomy of eye outside in

Answer 5

Lids/lashes
conj/sclera
cornea
anterior chamber
iris
lens

Question 6

mucous membrane and blood supply

imm.sys response - allergies

Answer 6

Bulbar (over eye ball) conjunctiva

Question 7

Fibrous CT, rigid

Answer 7

Sclera

Question 8

check acuity, tonometry and slit lamp/pen light for patients presenting with

Answer 8

Red eye

Question 9

Exam that measures intra occular pressure (IOP)

Answer 9

tonometry

Question 10

Slit lamp exam measure

Answer 10

the depth of a lesion

Question 11

• CHRONIC itch, burn
• worse in am
• no vis loss
• red, scales, debris, (meibomian dz)

Answer 11

Blepharitis

Question 12

3 types of blepharitis

Answer 12

1 seborrheic
2 meibomian gland dysfx (white/yellow bumps on lids)
3 chalazion (m. gland blocked, chronic, outside)

Question 13

seborrheic, meibomian dysfx, chalazion are

Answer 13

blepharitis

Question 14

chronic
meibomian gland is blocked
huge bump outside

Answer 14

chalazion

vs stye, hordeoma is inside

Question 15

no vision loss
due to aging
temporal twds nasal side

Answer 15

pingueculum

Question 16

• thickening of bulbar conj
• grows slowly over outer cornea
• from nasal to temporal
• VISION loss/interferance

Answer 16

pterygium

Question 17

acute pain, swelling
warm, red, tender
+/- vis loss
+/- systemic

Answer 17

Cellulitis

Question 18

preseptal cellulitis

Answer 18

no vis loss

Question 19

orbital cellulitis

Answer 19

eye muscles, decreased EOM
decrease in acuity
ER - IV ABs

Question 20

Tx for cellulitis

Answer 20

Sys ABs for both types

Question 21

• decrease in tears
• chronic itch, burn
• tired eyes, in PM
• +/- vision

Answer 21

Dry Eye

Question 22

Tx for dry eye

Answer 22

artificial tear/oint
top cyclosporin (if real bad)

Question 23

acute
bilateral
watery discharge
-itch, burn, sore, mild to sev injection, URI, Preauricular LAN (lymphadenopathy)

Answer 23

vital conjunctivitis

Question 24

acute
unilateral
thick exudate/mucopurulent discharge
burn, irritated, mod to severe injection, sticky eyelids,

Answer 24

bacterial conj.

Question 25

chronic
bilateral
stringy/mucoid discharge
chemosis - swelling
itch, mild to mod injection

Answer 25

Allergic conj

Question 26

tx for viral conj

Answer 26

tears/compress

vasoconstrictor (visine)

Question 27

tx for bacterial conj

Answer 27

top ABs
+/- systemic ABs

test: gram stain/culture

Question 28

cause for bacterial conj

Answer 28

Claumydia

Question 29

tx for allergic conj

Answer 29

tears

antihistamines

Question 30

acute, blood in eye, diffuse red
asymptomatic - trauma, cough, sneeze
no change in vision
Not ER

Answer 30

subconjuctival hemmorage

Tx: reassure

Question 31

• SUBACUTE onset of foreign body sens
• PAIN
• deep bluish hue or
• lots of red bl vessels in ONE FOCAL AREA
• +/- nodule

Answer 31

Episcleritis/scleritis
(Pain is greater than conj)
(ONE focal area instead of whole conj)

TX: top/sys steroids, REFER

Question 32

• ACUTE pain and f.body sens
• epiphora ?
• +/- vision loss

Answer 32

Corneal abrasion

Question 33

Tx for corneal abrasion

Answer 33

lubricant
top AB - see back in 24-48 hrs
oral pain med
!!!!NEVER rx numbing/topical anesthetic drops!!!!

Question 34

• ACUTE pain/burning
• red, pink, white color
• +/- vision decrease due to edema
• corneal abrasion

Answer 34

Chemical injury

Tx: irrigate ASAP!!!
refer!!!
top lubricants/abs