red eye

Question 1

red eye w/ decr vision

Answer 1

refer to opth

Question 2

child under 36 mon, assoc with URI, otitis media

Answer 2

pre-septal cellulitis

Question 3

tx of pre-septal cellulitis

Answer 3

warm, moist compresses + systemic abx

Question 4

what can pre-septal cellulitis spread from?

Answer 4

contiguous lid infxn

Question 5

can tx pre-septal cellulitis____and orbital cellulis____

Answer 5

outpatient; admit

Question 6

what to tx bacterial orbital cellulitis with

Answer 6

IV Abx

Question 7

what to tx fungal orbital cellulitis with

Answer 7

surgical debridement

Question 8

intense pain, itching, photophobia

Answer 8

herpes zoster

Question 9

vesicles, crusting with exudate, spares midline, conjunctiviitis

Answer 9

herpes zoster

Question 10

acquired nasolacrimal duct obstruction is most commonly due to?

Answer 10

polyp or tumor

Question 11

chronic inflammation of lid margin

Answer 11

blepharitis

Question 12

blepharitis is most comonly caused by

Answer 12

staphylococcal

seborrheic

Question 13

blepharitis tx

Answer 13

proper lid hygeine + Abx soln at night

Question 14

types of ocular surface disease

Answer 14

1. evaporative compromised lipid layer

2. aq tear deficit

Question 15

dry eye syndrome is AKA

Answer 15

ocular surface disease

Question 16

burning, foreign body sensation, grittiness, photophobia, tearing

Answer 16

aq tears deficiency states

Question 17

dry eyes, dry mouth, CT disorder

Answer 17

sjogrens syndrome

Question 18

tx of ocular surface disease

Answer 18

artificial tears

Question 19

how to x stye or chalazion

Answer 19

warm moist compresses + Abx

Question 20

incubation period 5-12 days, watery discharge, fomite, highly contagious

Answer 20

viral conjunctivitis

Question 21

what is viral conjunctivitis most commonly due to?

Answer 21

adenovirus

Question 22

what should you use with caution in the tx of viral conjunctivitis?

Answer 22

steroids

Question 23

management of bleparoconjunctivitis

Answer 23

oral antivirals (ganciclovir)

Question 24

vesicles on skin or eyelid margin, conjunctival follicular fxn, epithleal keratitis

Answer 24

HSV eye disease (beparoconjunctiviits)

Question 25

bilateral, mucopurulent discharge, lid crusting

Answer 25

bacterial conjunctivitis

Question 26

tx of non cultured corneal ulcers

Answer 26

fluoroquinolones

Question 27

leading cause of infectious corneal blindness

Answer 27

herpetic infxns

Question 28

use of topical steroids in herpectic eye ifxns

Answer 28

avoid

Question 29

tx of HSV keratitis

Answer 29

trifluorothymidine

Question 30

stringy conjunctival discharge

Answer 30

allergies

Question 31

purulent conjunctival discharge

Answer 31

bacterial

Question 32

serous conjunctival discharge

Answer 32

viral

Question 33

what is chemosis

Answer 33

conjunctival swelling

Question 34

corneal ulcer in contact lens wearer

Answer 34

pseudomonas

Question 35

risks associated with using steroids in HSV

Answer 35

1. herpes keratitis
2. elevated IOP
3. cataracts
4. fungal corneal ulcers

Question 36

ominous looking, spontaneously resolves, due to sneezing, coughing, valsalva

Answer 36

conjunctival hemorrhage

Question 37

due to excessive UV and wind exposure

Answer 37

inflamed pinguecula and pterygium

Question 38

is episcleritis or scleritis assc’d with collagen vascular disease?

Answer 38

scleritis

Question 39

episcleritis is____, whereas scleritis is ____

Answer 39

superficial/flat; raised/hyperemi

Question 40

inflammation of the colored part of the eye; c/o photophobia

Answer 40

iritis

Question 41

tx of uveitis

Answer 41

steroids