Tutorial - Common Conditions of the Eye Flashcards
What can you use to outline epithelial defects?
Stain with fluorescence
How does subconjunctival haemorrhage present?
Red and painless
How do you treat subconjunctival haemorrhage?
Just requires reassurance
How does corneal abrasion present?
Hx trauma
Pain
Red
Watering
Blurred vision
Epithelial defect
How do you treat corneal abrasion?
Topical antibiotics (e.g. chloramphenicol/fusidic acid)
Analgesia
How do you treat scleritis?
Systemic steroids
How do you treat endophthalmitis?
Admit
Topical antibiotics
Vitreous tap
Intravitreal antibiotics
What are signs and symptoms of thyroid eye disease?
Redness
Blurred vision
Pain
Diplopia
Hx of thyroid eye dx
Proptosis
Lid retraction
Reduced eye movement
How is thyroid eye disease treated?
Topical lubrication
Systemic steroids
Orbital RTX
Orbital decompression
What kind of trauma may you get to the eye?
Blunt/penetrating
Ocular burns - alkalis/acids/thermal/UV
What signs/symptoms may you see in corneal foreign body?
Hx/mechanism of injury
Pain
Watering
FB
How do you treat a corneal foreign body?
Remove FB (Benoxinate 0.4% & cotton bud)
Topical antibx (chloramphenicol)
If unable to remove refer to optometrist (Benoxinate 0.4% 25g needle & alger brush)
Check for subtarsal FB
What are the possible signs/symptoms of blunt trauma to the eye?
History/mechanism of injury
Subconjunctival haemorrhage
Hyphaema
Iris sphincter rupture
Cataract/lens subluxation
Vitreous haemorrhage
What are possible treatments for blunt trauma to the eye?
Rest
Topical steroids (Prednisolone 1%)
Cycloplegia (Atropine 1%)
IOP lowering if necessary
Surgical repair if necessary
What may be symptoms/signs of penetrating trauma to the eye?
History/mechanism of injury
Full thickness corneal laceration
Iris prolapse
Cataract
Vitreous haemorrhage
Retinal detachment
Intraocular foreign body
