4 - Opth - Acute red eye - Conjunctivitis and Subconjunctival Haemorrhage Flashcards Preview

CP2 > 4 - Opth - Acute red eye - Conjunctivitis and Subconjunctival Haemorrhage > Flashcards

Flashcards in 4 - Opth - Acute red eye - Conjunctivitis and Subconjunctival Haemorrhage Deck (8):
1

Causes

Viral - usually adenovirus
Bacterial -
Allergic

2

Sx

gritty/itchy discomfort
eye watering
Discharge
-bact - sticky/purulent
-viral - watery
-allergic -stringy
Photophobia is corneal involvement (rare)

3

Signs

Red and inflamed conjunctiva
VA, reflexes, cornea appearance usually unchanged
Lid appearance - Follicular = viral and Papillae = allergic
lymphadenopathy in viral infection

4

Chlamydia conjunctivits

suspect in young
green stringy discharge in morning
inferior conjunctival follicles
preauricular lymph nodes

5

Management of conjunctivitis

viral/allergic usually self limiting - bact needs treatment
-chloramphenicol drops, fusidic acid drops, ciprofloxacin drops

antihistamine drops for allergic

6

Subconjunctival haemorrhage - 2 features

painless, sudden onset

7

Subconjunctival haemorrhage - associations

possibly with trauma, or spontaneous (HTN, coughing/sneezing, bleeding disorder, warfarin)

8

Subconjunctival haemorrhage - Signs

VA normal
Well defined area of redness

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