Red Eye and Adnexal Oncology Flashcards
What are some diseases that will present with red eye but no loss of vision?
Uveitis
Conjunctivitis
How do you differentiate between the various types of conjunctivitis?
Yellow discharge (bacterial) Watery discharge (viral) Mucous discharge (allergic)
What are some diseases that will present with red eye and vision loss?
Scleritis
Orbital cellulitis
Acute glaucoma
Corneal ulcer
What are some of the causes of uveitis?
Idiopathic
Infection (TB, herpes simplex, syphillis)
Associated with systemic disease (ankylosing spondylitis)
What is the treatment for uveitis?
Topical anti inflammatory
Systemic steroid
Systemic immunosuppressants
What are the symptoms of acute angle closure glaucoma?
Severe pain
Vomiting
Fixed, dilated pupil
What may cause a corneal abrasion?
Trauma
Chronic dry eye
What are the features of preseptal cellulitis?
Pain
Redness
Lid swelling
What are the common causes of preseptal cellulitis?
Lid cyst
Insect bite
What are the features of orbital cellulitis?
Pain Redness Lid swelling Blurred vision Systemically unwell Exophthalmos Chemosis
What are the common causes of orbital cellulitis?
Sinusitis
Dental infections
What are the most common benign eyelid tumours?
Basal cell papilloma
What are the most common malignant eyelid tumours?
Basal cell carcinoma
What does the appearance of a squamous cell papilloma look like?
Raspberry texture
Pedunculated/sessile
How are squamous cell papillomas treated?
Excision or laser ablation
What does the appearance of a basal cell papilloma look like?
Greasy, brown, flat , round
Unrelated to sun exposure
How are basal cell papillomas treated?
Excision
What is used to diagnose a malignant transformation?
Asymmetry Border Colour Diameter Evolving/elevated Firm to touch Growing
What does the appearance of actinic keratosis look like?
Flat, scaly, hyperkeratotic skin
Related to sun exposure
How are actinic keratosis treated?
Excision or topical chemotherapy
What does the appearance of keratocanthoma look like?
Pink papule
Hyperkeratotic crater
How are capillary haemangiomas treated?
Beta blockers
Intralesion steroid
Surgery
What is the characteristic apppearance of a basal cell carcinoma?
Slow, inexorable growth over months Non-pigmented, elevated, ulcerated Pearly, rolled, irregular border Telangiectasia Lack of tenderness
What are the clinical subtypes of basal cell carcinomas?
Nodular
Ulcerative
Morpheaform/infiltrative
How are basal cell carcinomas treated?
Standard excision
Mohs surgery
Non-surgical (chemo, radio, cryo)
