The Red Eye, Cataracts and Corneal Transplantation 3 Flashcards
(24 cards)
Blepharitis symptoms
- Chronic inflammation of the eyelid
- crusting
- itchiness and burning of eyes
Blepharitis diagnosis
clinical
Blepharitis treatment
- Lid hygiene
2. Antibiotic ointment for 4-6 weeks
Bacterial conjunctivitis symptoms
- Redness
- mucopurulent discharge
- minimal discomfort
- vision minimally affected
Bacterial conjunctivitis diagnosis
clinical
Bacterial conjunctivitis treatment
- Resolves without tx in most
- Neonates require tx:
Polymixin-trimethoprim
Viral conjunctivitis symptoms
- Photophobia
- redness
- watery discharge
- Bilateral
- Swollen periauricular nodes
- Often follows URI
Viral conjunctivitis diagnosis
Clinical
Hx: URI or viral contact
Viral conjunctivitis treatment
None, resolves on own
Allergic conjunctivitis symptoms
- Itch
- mucopurulent discharge
- redness
- chemosis
- Bilateral
- No swollen lymph nodes
- Often seasonal
Allergic conjunctivitis diagnosis
clinical
Allergic conjunctivitis treatment
- Avoidance of allergen
- Artificial tears
- Cold compress
- Ocular antihistamines or mast cell stabilizers
Orbital cellulitis symptoms
- Decreased vision
- proptosis
- abnormal papillary response
- optic disc swelling
- Elevated temp and WBC
- Often post-URI or sinus infection
- Common in children
Orbital cellulitis diagnosis
- Clinical
- WBC
- URI/sinus infection Hx
- CT or MRI to look for abscess
- Blood cultures
Orbital cellulitis treatment
- Prompt drainage of abscess
2. Systemic IV antibiotics
Bacterial keratitis symptoms
- Pain
- photophobia
- decreased vision
- White spot on cornea
Bacterial keratitis diagnosis
- Clinical
2. Hx of trauma or contact lens wear
Bacterial keratitis treatment
- Ocular emergency
2. Refer for intense antibiotic treatment
HSV keratitis symptoms
- Pain
- photophobia
- decreased vision
- HSV vesicles around eye
HSV keratitis diagnosis
clinical
HSV keratitis treatment
- Topical antivirals
2. Systemic antivirals
Narrow angle glaucoma symptoms
- Sudden onset of intense pain
- red eye
- HA
- n/v
- halo around eyes
- decreased vision
(Sx are related to increased intraocular pressure and pain)
Narrow angle glaucoma
diagnosis
Clinical—
- mid-dilated pupil
- cloudy cornea
- eye is hard to the touch
Narrow angle glaucoma
treatment
- Ocular emergency
- Beta blocker
- Alpha agonist
- Systemic carbonic anhydrase inhibitor and mannitol
- Laser tx to poke hole in iris to drain fluid in severe cases
