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2 Opthalmology > Acute Red Eye > Flashcards

Acute Red Eye Flashcards

(66 cards)

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1
Q

superficial causes of red eye

A

scleritis
episcleritis
conjunctivitis
keratitis

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2
Q

uveal causes of red eye

A

anterior uveitis

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3
Q

deep causes of red eye

A

acute angle closure glaucoma

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4
Q

what kind of haemorrhage can cause a red eye

A

subconjunctival

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5
Q

cellulitis of what can cause a red eye

A

orbital

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6
Q

most common cause of orbital cellulitis in children

A

sinus infection

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7
Q

most common cause of orbital cellulitis in adults

A

trauma/laceration

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8
Q

what supplies secretion to the eyelids?

A

meibomian glands

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9
Q

what is the main stabiliser of the tear film?

A

oil from meibomian glands

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10
Q

what can affect lacrimal gland production

A

sjogrens

radiotherapy

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11
Q

most likely affected area of a ‘foreign body’ type of eye pain?

A

ocular surface

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12
Q

most likely affected area from an achy type of pain?

A

inflammation in the intraocular area

referred pain from brow

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13
Q

most common cause of an itchy eye

A

allergy

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14
Q

most common cause of mucoid/stringy discharge

A

allergy

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15
Q

vision loss and red eyes go hand in hand T or F

A

F, dont usually get visual loss

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16
Q

do contact lens problems present early or late?

A

late

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17
Q

what is blepharitid

A

inflamed eyelids

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18
Q

contact lense wearers are vulnerable to what organism?

A

acanthamoeba

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19
Q

what part of the eyelid is the tarsal eyelid?

A

inner

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20
Q

why do you get decreased vision when you press on the eye

A

disrupting the corneal contour

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21
Q

what eye problem is associated with acne rosacea

A

posterior blepharitis

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22
Q

differentials of blepharitis

A

conjunctivitis
keratitis
episcleritis

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23
Q

what kind of pain sensation does blepharitis present with?

A

foreign body sensation

grittiness

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24
Q

blepharitis presents with heavy discharge T or F

A

F, mild

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25
2 types of anterior blepharitis?
seborrhoeic | staphylococcal
26
lashes are affected in which type of anterior blepharitis
staphylococcal
27
scales are present in which type of anterior blepharitis?
seborrhoeic
28
ulcers are present in which type of anterior blepharitis?
staphylococcal
29
what is the main structure affected in posterior blepharitis?
meibomian glands
30
lid margins are red in posterior blepharitis and not anterior T or F
F, other way round
31
elderly man with corneal ulcers, bluing of the cornea and rhinophyma?
acne rosacea
32
Tx for blepharitis?
heat pads/bathing tear drops doxy PO for 2-3 months (azithro if can't have doxy)
33
does conjunctivitis affect vision?
no
34
what is chemosis?
oedema
35
preauricular glands are infected in a viral and not bacterial conjunctivitis T or F
T
36
does bacterial conjunctivitis present with papillae or follicles?
papillae
37
difference between papillae and follicles?
follicles are bigger and redder, in viral papillae are in bacterial
38
what eye condition commonly follows an URTI?
follicular conjunctivitis
39
what conditions can cause a chronic conjunctivitis?
blepharitis chlamydia lacrimal disease subtarsal FB
40
Ix for herpes simplex conjunctivitis?
viral PCR
41
what can cause a glassy appearance to the eye?
viral/allergic infection
42
eye symptoms of drug sensitivity?
itch | periorbital oedema
43
cause of a central corneal ulcer
INFECTION
44
cause of a peripheral corneal ulcer
autoimmune
45
autoimmune causes of corneal ulcers?
RA hypersensitivity vasculitis
46
describe the pain felt from a corneal ulcer?
severe and needle like | if herpetic there will be no pain
47
symptoms of corneal ulcer?
pain photophobia profuse lacrimation reduced vision
48
signs of a corneal ulcer on exam?
redness corneal reflections abnormal opacity of cornea hypopyon
49
what vitamin can inflame the cornea?
A
50
Ix for corneal ulcer?
corneal scrape for gram stain and culture
51
Tx of autoimmune corneal ulcer?
oral/topical steroid
52
autoimmune causes of anterior uveitis?
reiters UC ank spond sarcoidosis
53
infective causes of anterior uveitis?
TB syphilis herpes simplex herpes zoster
54
important differential for conjunctivitis?
anterior uveitis
55
difference between anterior uveitis and conjunctivitis?
dont get photophobia or reduced vision in conjunctivitis
56
describe the pain in anterior uveitis?
dull/achy
57
"cells and flare" with a hypopyon on examination
anterior uveitis
58
what are keratic precipitates and how do they present in anterior uveitis?
cells stuck on back of cornea that are placed face down in a triangular distribution
59
Tx for anterior uveitis?
topical steroid | mydriatic
60
Tx for episcleritis?
self limiting
61
what rheumatological condition is episcleritis associated with?
gout
62
scleritis is associated with what conditions?
GPA | RA
63
scleritis is very painful T or F
T
64
Tx for scleritis
oral NSAIDs | oral steroids
65
result on phenylephrine test for episcleritis and scleritis?
epi- will blanch | scler- wont blanch
66
appearance of angle closure glaucoma on exam?
circumcorneal injection cloudy cornea pupil dilated eye hard

2 Opthalmology (13 decks)

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