The Red Eye Flashcards
what is blepharitis
inflammed eye lids
What are the two types of anterior blepharitis
seborrhoeic scales on lashes
staphlococcal
lid margin is redder than deep part
What is posterior blepharitis and what does it look like
meibomian gland dysfunction
redness is in deeper part of lid
lid margin often looks normal
what are the symptoms of blepharitis
gritty eyes
foreign body sensation
discharge
associated with conjunctivitis, kerititis and episcleritis
What are the signs of seborroeic anterior blepharitis
lid margin red
scales\dandfruft
no ulceration and lashes unaffected
what are the sings of staoh anterior blepharitis
lid margin red distroted lashes loss of lashes ingrowing lashes styes ulcers of lid corneal staining marginal ulcers
what condition is posterior blepharitis associated
acne rosacea
What are the signs of posterior blepharitis
lid margin skin and lashes unaffected
MG openings pouting and swollen
inspissated (dried) secetion at gland opening
meibomian cysts
what is the treatment of blepharitis
lid hygeine
tear drop supplements
oral doxycycline for 2-3months
what is important about the symptoms of conjunctivitis
vision is unaffected
what are the signs of conjunctivitis
red eye- more towards the fornices discharge- serous or mucopurlent papillae or follicles sub conj haemorrhage chemosis if viral may have raised pre auricular nodes
what causes follicular conjunctivitis
viral
chlamydial
drugs eg propine, trusopt
what causes central corneal ulcers
infective
what causes peripheral corneal ulcers
autoimmune
rheumatoid arthritis
hypersensitivity
wegeners
what are the symptoms of corneal ulcers
pain is needle like and severe photophobia profuse lacrimation reduced vision red eye- circumcorneal
What are the signs of corneal ulcers
redness corneal reflex is abnoral corneal opacity staining with fluorescien hypopyon
When can you get exposure keratitis
thyroid
VII palsy
When do you get keratoconjunctivitis sicca
Sjogrens
What infections give you neurotrophic keratitis
h zoster or V1
What vit deficiency can give you corneal ulcer
vitamen A
what is the treatment of corneal ulcers
swab to determine cause
ofloxacin hourly if bacterial
aciclovir ointment 5 times daily if viral
anti inflammatory if autoimmune
give autoimmune causes of anterior uveitis
reiters
ulc colitis
ank spondylitis
sarcoidosis
give infective causes of anterior uveitis
TB
syphilis
herpes simpex
herpes zoster
What malignancy can cause anterior uveitis
leukemia
what are the symptoms of anterior uveitis
pain
vision reduced
photophobia
red eye circumcorneal
What are the signs of anterior uveitis
ciliary injection cells and flare in anterior chamber keratic precipitates hypopyon synechiae- irregular pupil
how do you manage anterior uveitis
topical steroids- prednisolone
mydriatics -cyclopentolate
What is episcleritis associated with
gout
what is scleritis associated with
rheumatoid
wegners
uveuitis commonly associated
what is the treatment of scleritis
oral NSAIDs
oral steroids
steroid sparing agents
What is the appearance of scleritis
injection of deep vascular plexus- violaceous hue
how can you differentiate between episcelritis and scleritis
Scleritis may be differentiated from episcleritis by using phenylephrine or neosynephrine eye drops, which causes blanching of the blood vessels in episcleritis, but not in scleritis.
what group of peolple is closed angle glaucoma more common in
elderly with hypermetroic thick glasses
what are the signs and symptoms of acute closed angle glaucoma
severe pain nausea circumcorneal injection cornea cloudy pupil mid dilated eye stony hard
