Keratitis Flashcards
(28 cards)
acute conj
red eye
discharge
sticky in morning
doreign body sensation
can cause follicles or papillae flare
short durration
acute bilaterla conj
most common
more common in children
acute bilateral conj symptoms
acute onset and foreign body sensation
bilateral
crusted stuck eyelid
4 week durration
itchy but less than other types
acute bilateral conj signs
mucopurlenet dischage
eye lid oedema and infection
superficial punctate corneal erosion
papillae
chemosis
pseudomembrane
acute bilateral conj management
conj swab oif severe
topical antibiotics
lid hygene
cold compress
giant fornex syndrome- uncommon entity causing chronic relapse of pseudomembranetous plurent conj
viral conjunctivitis
adenovirus
herpes simplex
caricellular zoster
molluscum contagiosum
viral conj adenoviral
most common
mild to severe inflammation
close contact to acute conj
highly contageous
viral conj adenoviral symptoms
recent cold in upper respiratory tract injection
poor hygene
corwded conditions
redness and wattering
uncomfy eye usually unilateral
viral conj adenoviral signs
eyelid oedema
conj hyperaemia
watery mucous
follicles in palp conj
tender pre-antivirals
lymphnodes abnormal in size
red swollen lids
pinpoint sun conj haemorrhage
viral conj adenoviral severe signs
conj haemorrhages
chemosis
pseudomembranes
viral conj adenoviral treatment q
advise - contageous and resolves 2/52
cold compress
lubricants
peeling of pseudomebrane if present
vaso-constrict and antihistamine to prevent itching
antibacterial not effective in these conditions
usually managed in comunity
corneal involvement may require referral to reduce risk of stromal scarring
viral conj herpes simples
Ocular HSV or cold sores
viral conj herpes simples s and s
watery discharge
FB sensation
unilateral follicular conj
lymphadenopathy
herpetic skin lesions across upper lid or skin
viral conj herpes simples treatment
check for corneal involvement
topical antivirals therapy - acyclovir
cold compress
viral conj herpes zoster signs and symptoms
skin rash
discomfort
headache and fever
blurred vision
red eye and pain
vesticular skin rash, scarring
unilateral - dermatome of 5th caranial nerve
huciesons signs - vesicle on side of nose
viral conj herpes zoster management
oral antivirals - presence of skin losion (GP)
topical acyclovir - oral not effective
cold compress
lubricants
viral conj milluscum contagiosum
oncogenic virus
signs-
- lesion od skin and muscos membrane- dome shaped umbilical shiny nodules
- assocaited follicular conj
- can be associated with HIV
Treatment:-
- excision of lesion to treat conjunctivitus
allergic conjunctivitis
common caused by conjucntival reaction to allergin ie pollen
seen in children in spring
acute itching, wattering hallmark chemosis
Allergic conjunctivitis types
seasonal - caused ny hypersensitivity to airborne allergins such as grass and pollen rthat comes into contact with mast cells
perinial - house dust, mites and animal hair
allergic conjunctivitis symptoms
red eye itchy and burning
watering of eye
associated with sneezing and watery nasal discharge
reminisions and exacberations
unilateral and bilateral
sneezing and nasal discharge
mild symptoms
allergic conjunctivitis signs
conj - mild infection and oedema
Bulbar and tarsal - chemosis, diffuse papilllary reaction
eyelid oedema
allergic conjunctivitis diff diagnosis
Blepth
contact allergy
infectous conjucntivitis
traumatic cellulitis
allergic conjunctivitis treatment
non - pharmacist measures
avoid itching agents
cold compress
artificial tears
antiallergy drops
NSAIDs
mild topical steroids
oral antihistamines
VKC
Bilateral
sight threathning
common in dry areas, children, durring spring and summer
resolves at puberty
associated with asthma and atopty
chronic and recurring
conj involvement worse sup
