Red Eye Flashcards
What condition is seen here?
In paediatrics, what is ususally the cause?
Orbital cellulitis
Sinus infection
What condition is seen here?
These are usually of no great significance unless they are what?
Subconjunctival haemorrhage
Recurrent
The eyelids are important in ocular defence. What are some of their functions?
Blink reflex
Meibomian secretions: oily, and act as tear film stabilisers
What are some structures of the eye which are important in defence?
Eyelids
Tears
Conjunctiva
Epithelium
Tears are important in defence, what are some of their functions?
What are some causes of reduced tears?
Mucus trapping, and the production of lysozyme, immunoglobins IgA and IgG and complement
Connective tissue diseases, especially Sjogren’s, and also radiotherapy
What is the only acute condition which involves increased pressure?
Acute closed angle glaucoma
If patients have the sensation of a foreign body in the eye, where does this suggest the pain is coming from?
If the patient has an achy pain, where does this suggest the pain is coming from?
Intra-ocular problem
Referred pain from intra-ocular inflammation
When patients have a red eye associated with persistent visual loss, what conditions could this suggest?
Acute closed angle glaucoma, uveitis, corneal ulcer
What is acatoemeba?
What does it do?
Who is it seen in?
A parasitic microbe
Eats the keratocytes in the cornea and is non-responsive to any antibiotics
Associated with contact lens wear
Blepharitis is inflammation of where?
It can be one of two types, what are these?
The eyelids
Anterior or posterior
What type of blepharitis is seen here?
What are the two different types of this?
Anterior
Sebrorrhoeic (squamous) = scales on the lashes
Staphylococcal = infection involving the lash follicle
A lid margin redder than the deeper part of the lid describes which type of blepharitis?
Redness in the deeper part of the lid, with the margin often looking normal describes which type of blepharitis?
Anterior
Posterior
What type of blepharitis is this?
What causes it?
Posterior
Meibomian gland dysfunction
Give 3 symptoms of blepharitis?
Gritty eyes
Feeling of foreign body sensation
Mild discharge
Blepharitis has associations with which 3 other causes of red eye?
Conjunctivitis, keratitis, episcleritis
Lid margin is red, lots of scales, dandruff, no ulceration, unaffected eyelids- what type of blepharitis is this?
Lid margin is red, lashes are distorted/lost/ingrowing (trichiasis), ulcers on the lid margin, corneal staining- what type of blepharitis is this?
Anterior, seborrhoeic type
Anterior, staphylococcal type
Posterior blepharitis has an association with what other condition in 50% of cases?
Rosacea
What is the treatment for blepharitis?
Lid hygiene
Supplementary tear drops
Oral doxycycline for 2-3 months
What are the 3 main symptoms of conjunctivitis?
What othe symptoms may there be if it is an allergic type?
Is vision affected in conjunctivitis?
Red eye, foreign body sensation, discharge
Itch
No