Conjunctival Disorders

Question 1

Pinguecula and Pterygium are

Answer 1

benign growth of the conjunctiva that can result from chronic actinic irritation

Question 2

Raised yellowish white mass within the bulbar conjunctiva adjacent to cornea - does not tend to grow into cornea

Answer 2

Pinguecula

Question 3

Treatment of Pinguecula

Answer 3

rarely necessary, can be easily removed (ophtho)

Question 4

Fleshy triangular growth of bulbar conjunctiva that may spread across and distort cornea, induce astigmatism, change refractive power of eye

Answer 4

Pterygium

Question 5

Treatment of Pterygium

Answer 5

Symptomatic relief: artificial tears or short treatment with corticosteroid drops or ointments
removal indicated for documented growth, cosmetic concerns, to reduce irritation, to improve or preserve vision (ophtho)

Question 6

most common cause of cause of eye redness, refers to inflammation or infection of conjunctiva

Answer 6

conjunctivitis

Question 7

types of conjunctivitis

Answer 7

viral (children), bacterial (adults)

Question 8

Infectious conjunctivitis “pink eye” - viral presentation

Answer 8

children more than adults
most cases highly contagious for 10-14 days
FB sensation, red eyes, itching, light sensitivity, burning, watery discharge

Question 9

Treatment of viral conjunctivitis

Answer 9

sx relief: artificial tears, cool compress
resolution can take up to 3 wks - most 14 days
preventing spread
topical steroids, topical antiviral

Question 10

Bacterial conjunctivitis presentation

Answer 10

redness, tearing, discharge from one/both eyes (glued eyes)
pain, vision loss, photophobia, no itch or burn

Question 11

bacterial conjunctivitis treatment

Answer 11

resolve within one wk
topical abx
duration of treatment usually 5-7 days

Question 12

Pts with contact lenses are more susceptible to ________ bacteria

Answer 12

gram negative

Question 12

Pts with contact lenses are more susceptible to ________ bacteria

Answer 12

gram negative

Question 12

Pts with contact lenses are more susceptible to ________ bacteria

Answer 12

gram negative

Question 13

Inflammatory process involving both conjunctiva and superficial cornea - usually occur in association with viral, bacteral, autoimmune, toxic, allergic etiologies

Answer 13

keratoconjunctivitis

Question 14

Viral Keratoconjunctivitis presentation

Answer 14

eye discomfort/ irritation
pruritus
light sensitivity
minor blurring
conjunctival injection, conjunctival chemosis, eye discharge

Question 15

Viral Keratoconjunctivitis treatment

Answer 15

no effective treatment exists
artificial tears, cool compresses, topical antihistamines

Question 16

Keratoconjunctivitis sicca treatment

Answer 16

sx relief - artificial tears, warm compresses, lid scrubs, oral flaxseed oil and fish oil supplements
meds - topical abx/ steroids, PO antihistamines
Procedural treatment

Question 17

chronic, intermittent, bilateral burning, stinging, foreign body sensation, photophobia, eye fatigue, heavy eyelids, pruritus, epiphora, watery discharge, blurred vision, decreased tear production

Answer 17

Keratoconjunctivitis sicca - aka dry eye syndrome (DES)

Question 18

Allergic conjunctivitis presentation

Answer 18

frequently accompanies seasonal allergy symptoms, specifically known allergy exposures or history of atopy
itchiness, diffuse conjunctival injection are the most common symptoms and presents in all types

Question 19

Allergic conjunctivitis treatment

Answer 19

pt ed - eye care, rubbing eyes, avoidance of allergen, remove contact lenses
artificial tears and cool compresses
combo AH/mast cell stabilizing stops = #1