Red Eye Flashcards

1
Q

What is the commonest cause of red eye?

A

Conjunctivitis

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2
Q

Give some other causes of red eye

A
Keratitis
Blepharitis
Anterior uveitis
Scleritis
Acute closed-angle glaucoma
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3
Q

Random subconjunctival haemorrhage is a serious sign. True/false?

A

False - only significant if recurrent

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4
Q

What is the order of eye examination in red eye?

A
Facial appearance
Lids
Conjunctivae
Cornea
Anterior chamber
Iris/pupil
Intra-ocular pressure
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5
Q

What is blepharitis?

A

Inflammation of the eyelids

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6
Q

Give some causes of anterior blepharitis

A

Seborrhoeic

Staphylococcal

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7
Q

What causes posterior blepharitis?

A

Meibomian gland dysfunction

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8
Q

Give some signs of seborrhoeic anterior blepharitis

A

Red lid margin
Scales
Dandruff

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9
Q

Give some signs of staphylococcal anterior blepharitis

A

Red lid margins
Lid ulcers
Distorted lashes

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10
Q

Posterior blepharitis is associated with what disease?

A

Acne rosacea

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11
Q

How is blepharitis treated?

A

Lid hygiene
Tear drops
Oral doxycycline

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12
Q

Give some causes of conjunctivitis

A

Viral
Bacterial
Chlamydia
Allergy

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13
Q

In conjunctivitis, vision is affected/unaffected

A

Unaffected

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14
Q

What are some signs of conjunctivitis?

A

Red eye
Discharge
Papillae
Subconjunctival haemorrhage

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15
Q

Papillae are seen in viral conjunctivitis while follicles are seen in bacterial conjunctivitis. True/false?

A

False - papillae in bacterial while follicules in viral

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16
Q

What is keratitis?

A

Inflammation of the cornea

17
Q

Central corneal ulcers are autoimmune/infective while peripheral corneal ulcers are autoimmune/infective

A

Central are infective and peripheral are autoimune

18
Q

Give some signs and symptoms of corneal ulcers

A

Needle-like pain
Photophobia
Abnormal corneal reflex
Hypopyon

19
Q

How is the cause of a corneal ulcer identified?

A

Corneal scrape

20
Q

How are corneal ulcers treated?

A

Antimicrobial/antiviral/anti-inflammatory depending on cause

21
Q

Give some autoimmune causes of anterior uveitis

A

Reactive arthritis
Ulcerative colitis
Ankylosing spondylitis
Sarcoidosis

22
Q

What are some signs of anterior uveitis?

A
Reduced vision
Hypopyon
Anterior chamber flare/cells
Keratic precipitates
Small/irregular pupil
23
Q

How is anterior uveitis managed?

A

Topical steroids

Mydriatics

24
Q

Which is the more serious condition - scleritis or episcleritis?

A

Scleritis

25
Q

Give some signs of scleritis

A

Blue/purple injection

Pain

26
Q

How is scleritis treated?

A

Oral NSAIDs/steroids/DMARDs

27
Q

A closed angle glaucoma is more commonly seen in myopia/hypermetropia

A

Hypermetriopia

28
Q

What are some signs of closed angle glaucoma?

A

Severe pain
Nausea/vomiting
Cloudy cornea
Stony hard eye