Opthal I Flashcards
(2 cards)
[] is a risk factor for retinal detachment
- Describe how this presents [+]
Myopia is a risk factor for retinal detachment
E.g sudden onset of flashes and floaters. This has now progressed and she describes a sudden onset, painless loss of vision that day and appears to be like a ‘shadow’.
On examination, visual acuity is 6/12 in the left eye (baseline of 6/9). On fundoscopy, the red reflex is not present in the left eye and the retinal folds appear pale.
Following an uneventful pregnancy, a 19-year-old woman delivers a male child vaginally. At assessment one week later the child is noted to have purulent discharge and crusting of the eyelids. What is the next step in the management of the child? [1]
What would you do afterwards? [1]
Although minor conjunctivitis with encrusting of the eyelids is common and often benign, a purulent discharge may indicate the presence of a serious infection (for example, with chlamydia or gonococcus). In babies with a purulent eye discharge swab samples should be taken urgently for microbiological investigation, using methods that can detect chlamydia and gonococcus.
* While the guidance is to start systemic antibiotic treatment for possible gonococcal infection while awaiting the swab microbiology results, swabs must be taken first.
