Treatments in Eye Disease Flashcards
CRAO?
if presents within 24 hours, use an occular massage to try to convert CRAO to BRAO
Am Fugax?
immediate referred to TIA clinic
Aspirin
CRVO?
monitor for development of new vessels, laser treatment may be required to avoid complications
arteritic ION (occurs in giant cell arteritis)?
prevent visual loss in other eye
Immediate high dose steroid may prevent the other eye going blind
refer urgently
vitreous haemmorhage
identify cause, vitrectomy for non-resolving cases
retinal detachment?
usually surgical
wet age related macular degeneration
anti VEGF injected into the vitreoui cavity (stops growth of new blood vessels)
cataracts?
surgical removal with intraocular lens implant if patient is symptomatic
Dry age related macular degeneration?
treatment is supportive eg with magnifiers
Open angle glaucoma?
pressure lowering eye drops or surgery
conjunctivitis?
clears in about 14 days without treatment
topical antibiotic clears it faster
corneal ulcers?
corneal scape for gram stain and culture to determine cause, antimicrobial if bacterial, antiviral if herpetic (acyclovir)
If autoimmune, give anti-inflammatoryy 5x a day (oral/topical steroids)
anterior uveitis?
mydriatics, steroids, investigate for systemic associations
episcleritis
self limiting
steroids
scleritis?
oral NSAIDs, oral steroids, steroid sparing agents
