Red Eye Flashcards
What are the 9 basic Diagnostic Steps in red eye?
Visual Acuity Pattern of Redness Discharge Corneal Opacification Corneal Epi defects ###
What are the features of Pre-septal Cellulitis?
Associated with URI and Otitis media in Children
Spread from a lid infection
What is the source of Orbital Cellulitis?
Extend from bacterial sinusitis
Penetrating trauma
From Periocular infection
Hematogenous spread.
What are the traits of Orbital Cellulitis?
Ext: Redness Swelling
Motility: impaired, painful
Proptosis
Optic Nerve: dec vision, RAPD, disc edema
What is the management of Orbital cellulitis?
IV Abtx
Surgical Debriedment if fungal
What are rhe complications of Orbital Cellulitis?
Cavernous sinus thrombosis, meningitis, brina abcess
What are the symptoms of Herpes Zoster Opthalmicus?
Intense Pain/discomfort
Itching
Photophobia
What are the symptoms of HZO?
Vesicles Crusting with exudate Spares midline Conjunctivitis Optic Neuritis and EOM dysfunction
What is a congenital Nasolacrimal duct obstruction?
Distal obstruction
Most have spontaneous resolution
What are the manifestations of congenital Nasolacrimal duct obstruction
Amniocele, mucocele
Dacryocystitis
Tearing and mattering
What are the traits of Acquired NL Duct obstruction?
Secondary to polyp or tumor
Dacrocystitis
Systemic Abtx
Surgery after medical
What is Blepharitis?
Chronic Inflammation of lid margin
Staph, Seborrheic or Combo
Foreign body sensation, burning, mattering
What is the Tx of Blepharitis?
Proper lid hygeine
Abtx solution
What are the symptoms of Aqueous tear deficiency?
Burning
Foreign body
Photophobia
Tearing
WHat are the causes of Aqueous tear deficiency?
Aging
RA
Systemic Medication
What is the Tx of Ocular Surface disease?
Arteficial Tears Lubricating ointment at night Omega 3 Lid hygeine Topical anti inflammatory Punctal occlusion Doxycycline
What is the Tx of Stye/Chalazion?
Warm, moist Compress
Incision with curettage
Persistent recurring masses => Biopsy to rule out CA
What is Ectropion?
Eyelid turns outward
Sx: Burning, tearing, keratitis, ulcers
Abtx or surgery
What is Entropion?
Eyelids turn inward
Sx: FB sensation, tearing, Abrasion, ulcers
Abtx
What is the Tx of Allergic Conjunctivitis?
Tear substitutes Decongestants Antihistamines Mast cell stablizers Multiaction NSAIDS Cotricosteroids
