The Red eye Flashcards

1
Q

Describe the features of Uveitis

A
Pain = None -> mild
Redness = pericorneal/none
Discharge = No/Minimal
Vision = blurred
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2
Q

Describe the features of Bacterial Conjuctivitis

A

Pain = Non -> full blown sensation / itch

Redness = peripheral/diffuse

Discharge = yes/ yellow

Vision = normal

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3
Q

Describe the features of viral conjunctivitis

A

Pain = None -> full blown sensation/ itch

Redness = peripheral/ diffuse

Discharge = yes/watery

Vision = normal

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4
Q

Describe the features of allergic conjunctivitis

A

Pain = None -> full blown sensation/ itch

Redness = peripheral/ diffuse

Discharge = yes/ mucous

Vision = normal

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5
Q

Describe the features of scleritis

A

Pain = Severe/ boring

Redness = sectoral/ diffuse

Discharge = no

Vision = normal

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6
Q

Describe the features of acute glaucoma

A

Pain = severe/ headache

Redness = pericorneal

Discharge = yes/no

Vision = lost

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7
Q

Describe the features of Keratitis/ Corneal ulcer

A

Pain = severe/ eye closing

Redness = pericorneal

Discharge = yes/no

Vision = lost

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8
Q

Describe the features of Orbital cellulitis

A

Pain = Severe/ periocular

Redness = none

Discharge = no/yes

Vision = normal

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9
Q

What is uveitis?

A

Inflammation in the eye

May effect:

  • Anterior (iris)
  • Intermediate (ciliary body and vitreous)
  • Posterior (Retina, choroids, blood vessels

Panuveitis (all)

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10
Q

What are some of the causes of Uveitis?

A

Idiopathic (most common)

Associated with systemic disease: Ankylosing spondylitis, Behcet’s Disease, Sarcoidosis, Wegener’s, Systemic lupus erythematosis

Infection: TB, Syphalis, Toxoplasma, Herpes Simplex, Lyme’s disease, CMV

Masquarade: Intraocular lymphoma, Leukaemia

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11
Q

What is the treatment for Uveitis?

A

-Treat Infection
-Topical anti-inflammatory
(main stay treatment)
-Systemic steroid
-Systemic immunosuppressants

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12
Q

whats the difference between Episcleritis ans Scleritis?

A

Episclera is the more superficial layer.

Episcleritis:

  • Is milder
  • Only part of the eye become red
  • Only mildly painful

Scleritis:

  • Very painful
  • Risk to sight
  • Inflammation large enough to melt away sclera
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13
Q

What are the symptoms of Acute Angle-Closure Glaucoma

A
Severe Pain
Vomiting
Fixed, dilated pupil
(non-responsive to light)
Hard eye
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14
Q

What is the treatment for acuta angle-closure glaucoma?

A

Strong drugs to decompress

Drugs to constrict pupil (trying to pull away to open angle)

Small insistion to iris

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15
Q

What infections may cause corneal ulcer?

A

Herpes virus

Pseudomonous

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16
Q

What are the features of preseptal cellulitis?

A

Pain, redness, lid swelling

Systematically well

17
Q

What are the common causes for preseptal cellulitis?

A

Lid cyst or insect bite

18
Q

What are the features of orbital cellulitis?

A
  • Pain, redness, lid swelling
  • Systemically unwell
  • Double vision/ limitation in EOEM
  • Conjunctivitis/ chomosis
  • Exophthalmos
  • Blurred vision
19
Q

What is chomosis?

A

Swelling (or oedema) of the conjunctivae

20
Q

What is Exophthalmos?

A

Bulging of the eye anteriorly out of the orbit

21
Q

What are the common causes of orbital cellulitis?

A

Sinusitis / dental infections

Haematological spread

22
Q

What are the opthalmic presentations of systemic disease?

A
Diabetes
Hypertension
Autoimmune
Inflammatory
Infection
Haematological
Inherited/ Genetic
Thyroid eye disease
23
Q

What are the autoimmune opthalmic presentations?

A
  • Rheumatoid arthritis
  • Cicatrical pemphigoid
  • Myaesthenia gravis
  • Sjogren’s syndrome
  • Systemic lupus erythematosus
  • Grave’s disease
24
Q

What are the inflammatory opthalmic presentations?

A
  • Ankylosing spondylitis
  • Crohn’s disease
  • Juvenile ideopathic arthritis
  • Sarcoidosis
25
Q

What are the inherited/ genetic opthalmic presentations?

A
Albinism
Ehlers-Danlos
Marfan's
Myotonic dystrophy
Neurofibromatosis