The Red Eye, Cataracts and Corneal Transplantation 3 Flashcards

1
Q

Blepharitis symptoms

A
  1. Chronic inflammation of the eyelid
  2. crusting
  3. itchiness and burning of eyes
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2
Q

Blepharitis diagnosis

A

clinical

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3
Q

Blepharitis treatment

A
  1. Lid hygiene

2. Antibiotic ointment for 4-6 weeks

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4
Q

Bacterial conjunctivitis symptoms

A
  1. Redness
  2. mucopurulent discharge
  3. minimal discomfort
  4. vision minimally affected
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5
Q

Bacterial conjunctivitis diagnosis

A

clinical

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6
Q

Bacterial conjunctivitis treatment

A
  1. Resolves without tx in most
  2. Neonates require tx:
    Polymixin-trimethoprim
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7
Q

Viral conjunctivitis symptoms

A
  1. Photophobia
  2. redness
  3. watery discharge
  4. Bilateral
  5. Swollen periauricular nodes
  6. Often follows URI
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8
Q

Viral conjunctivitis diagnosis

A

Clinical

Hx: URI or viral contact

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9
Q

Viral conjunctivitis treatment

A

None, resolves on own

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10
Q

Allergic conjunctivitis symptoms

A
  1. Itch
  2. mucopurulent discharge
  3. redness
  4. chemosis
  5. Bilateral
  6. No swollen lymph nodes
  7. Often seasonal
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11
Q

Allergic conjunctivitis diagnosis

A

clinical

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12
Q

Allergic conjunctivitis treatment

A
  1. Avoidance of allergen
  2. Artificial tears
  3. Cold compress
  4. Ocular antihistamines or mast cell stabilizers
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13
Q

Orbital cellulitis symptoms

A
  1. Decreased vision
  2. proptosis
  3. abnormal papillary response
  4. optic disc swelling
  5. Elevated temp and WBC
  6. Often post-URI or sinus infection
  7. Common in children
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14
Q

Orbital cellulitis diagnosis

A
  1. Clinical
  2. WBC
  3. URI/sinus infection Hx
  4. CT or MRI to look for abscess
  5. Blood cultures
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15
Q

Orbital cellulitis treatment

A
  1. Prompt drainage of abscess

2. Systemic IV antibiotics

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16
Q

Bacterial keratitis symptoms

A
  1. Pain
  2. photophobia
  3. decreased vision
  4. White spot on cornea
17
Q

Bacterial keratitis diagnosis

A
  1. Clinical

2. Hx of trauma or contact lens wear

18
Q

Bacterial keratitis treatment

A
  1. Ocular emergency

2. Refer for intense antibiotic treatment

19
Q

HSV keratitis symptoms

A
  1. Pain
  2. photophobia
  3. decreased vision
  4. HSV vesicles around eye
20
Q

HSV keratitis diagnosis

A

clinical

21
Q

HSV keratitis treatment

A
  1. Topical antivirals

2. Systemic antivirals

22
Q

Narrow angle glaucoma symptoms

A
  1. Sudden onset of intense pain
  2. red eye
  3. HA
  4. n/v
  5. halo around eyes
  6. decreased vision

(Sx are related to increased intraocular pressure and pain)

23
Q

Narrow angle glaucoma

diagnosis

A

Clinical—

  1. mid-dilated pupil
  2. cloudy cornea
  3. eye is hard to the touch
24
Q

Narrow angle glaucoma

treatment

A
  1. Ocular emergency
  2. Beta blocker
  3. Alpha agonist
  4. Systemic carbonic anhydrase inhibitor and mannitol
  5. Laser tx to poke hole in iris to drain fluid in severe cases