Quiz 3 Flashcards
1
Q
Dx: Gonococall pharyngitis
A
DNA probe
2
Q
Gonococcal pharyngitis is an important source of ___.
A
gonococcemia
3
Q
What is the MC deep neck infection in children and young adults?
A
peritonsillar abscess
4
Q
Which glands, when infected, become the source of infection in Peritonsillar abscess?
A
Weber’s glands
5
Q
Risk factors: Peritonsillar abscess
A
Acute tonsillitis, pharyngitis, periodontal disease, smoking
6
Q
There is a strong association between Peritonsillar abscess and which medication?
A
NSAIDs
7
Q
SSx: Peritonsillar abscess
A
Appears ill, trismus, drooling, unable to swallow, hot potato voice, unilateral tonsil hypertrophy w/ contralateral displaced uvula
8
Q
PE: Peritonsillar abscess
A
CxLA on ipsilateral side, palpate for fluctuance (abscess)
9
Q
Complications: Peritonsillar abscess
A
Airway obstruction, meningitis, septicemia, aspiration pneumonia, GABHS sequelae, carotid artery rupture, Lemierre Syndrome
10
Q
DX: Peritonsillar abscess
A
Needle aspiration (gold standard), U/S, CT
11
Q
What is Lemierre Syndrome?
A
Internal jugular vein thrombophlebitis and sepsis
Complication of Peritonsillar abscess
12
Q
Tx: Peritonsillar abscess
A
Refer for I and D
13
Q
Etiology: Peritonsillar abscess
A
Polymicrobial
GABHS, Strep pyogenes, Staph A, respiratory anaerobes
14
Q
Etiology: Diphtheria
A
Corynebacterium diphtheriae
15
Q
SSx: Diphtheria
A
Blue/white membrane adhered to posterior pharynx
16
Q
SSx: Retropharyngeal abscess
A
Dyspnea, stridor, hot potato voice, stiff neck, pain referred to post. neck
17
Q
Etiology: Retropharyngeal abscess
A
2’ to dental infx, foreign body insult, trauma
18
Q
PE: Retropharyngeal abscess
A
High fever, ant. bulging in post. pharynx
19
Q
Location: Ludwig’s angina
A
Submental space infx
20
Q
SSx: Ludwig’s angina
A
Severe trismus, drooling, airway compromise
21
Q
PE: Ludwig’s angina
A
Collar of brawny edema (neck), elevation of tongue, possible airway obstruction
22
Q
Etiology: Necrotizing fasciitis
A
Complication of Strep
23
Q
Population: Epiglottitis
A
2-5 yo (MC)
24
Q
Etiology: Epiglottitis
A
HiB (MC)
25
SSx: Epiglottitis
Sore throat, high fever, weak voice, hot potato voice, drooling, tripod position, stridor
26
PE: Epiglottitis
Trismus, swollen uvula
27
What part of the PE for epiglottitis is contraindicated in children?
Visualization of the supraglottic area
28
Dx: Epiglottitis
Lateral X-ray (thumbprint sign)
29
Condition: sore throat < AM, > hot drinks
Post-nasal drip
30
Which vitamin can improve the integrity of esophageal epithelium?
Vitamin A
31
DDx: Chronic sore throat
Malignancy, Chronic cough, Vocal abuse, Sick House Syndrome, Smoking, Solvent use, Post-nasal drip, Reflux pharyngitis, Post-nasal drip, Infectious (esp. Mono)
32
Kawasaki Disease
Acute, self-limited vasculitis that occurs in children of all ages
33
SSx: Kawasaki Disease
```
Conjunctivits (non-exudative)
Rash (polymorphous non-vesicular)
Edema (or erythema of hands/feet)
Adenopathy (cervical)
Mucosal involvement (erythema, fissures, crusting)
```
34
Low-pitch hoarseness is suggestive of ___
hypothyroidism
35
Red flags: hoarseness d/t malignancy
Hx of smoking, heavy EtOH use, weight loss, stridor
36
DDx (Neuro): Hoarseness
Parkinson's, MS, myasthenia gravis
37
Most vocal cord paralysis is (unilateral/bilateral) and is caused by damage to the ___.
unilateral
recurrent laryngeal nerve
38
Bilateral vocal chord paralysis is MC d/t ___.
complication from thyroid surgery
39
Etiology: Hoarseness d/t chronic vocal laryngitis
Smoking, vocal abuse, laryngopharyngeal reflux, allergies, inhaled glucocorticoids
40
When hoarseness lasts longer than 2 weeks w/o a clear benign cause, ___. An exception to this rule is ___.
do a direct or indirect laryngoscopy
patients w/ asthma on inhaled corticosteroids
41
Etiology: Globus
GERD (MC), abnormal UES, psychological and psychiatric d/o, stress, inflammatory dz, thyroid dz
42
Red flags: Globus
Dysphagia, pain, wt loss, hoarseness, neck mass
43
Conditions associated with globus
Cervical osteophyte, TMJ d/o, salivary hypofunction
44
Tx: Globus
Mg, homeopathy, acupuncture
45
Etiology (endocrine): Hoarseness
Hypothyroid, acromegaly
46
SSx: OSA
Overweight, snore loudly, chronic daytime sleepiness
47
Tx: Mild OSA
Abstaining from alcohol and sedatives, losing weight, avoiding supine position during sleep
48
Tx: Severe OSA
CPAP, palatal surgery, jaw surgery, tracheotomy
49
How is severity of OSA measured?
Apnea-hypopnea index (number of sleep events per hour)
50
Long-term mortality increases in pts treated for OSA with a apnea-hypopnea index > ___.
20 events per hour
51
Morbidities associated with OSA
Metabolic syndrome, IHD, HTN, CHF, arrhythmias, cerebral vascular dz, pulmonary vascular dz, memory deficit, inc. risk for accidents/CV events
52
Bulbar conjunctiva
corner of eye
53
Palpebral conjunctiva
under surface of lids
54
Innervation: cornea
CN V
55
Mydriasis
dilation of pupil
56
Myosis
constriction of pupil
57
What produces aqueous humour?
ciliary body
58
What provides the major blood supply to the eye?
Choroid
59
Differentiate rods vs. cones
Both are light receptors
Rods are sensitive to light, insensitive to color, important for night vision and dim light
Cones are sensitive to color
60
What is the name of the yellow spot in the center of the retina, 2 cm lateral to optic disk?
Macula lutea
61
Where is the highest concentration of cones?
Fovea centralis
62
DDx: Acute vision loss (media problems)
Keratitis, hyphema, cataract, vitreous hemorrhage, uveitis
63
DDx: Acute vision loss (retinal problems)
Vascular occlusion, retinal detachment, acute maculopathy
64
DDx: Acute vision loss (neural visual pathway problems)
Optic nerve, optic chiasm, retrociasmal (occipital lobe)
65
Bilateral vision loss suggests ____.
occipital involvement
66
DDx: sharp superficial eye pain
Keratitis
67
DDx: deep brow pain w/ N/V
acute glaucoma, uveitis (no N/V)
68
DDx: eye pain < movement
optic neuritis
69
DDx: vision loss w/ eye pain
Keratitis, acute gluacoma, uveitis, optic neuritis
70
DDx: vision loss w/ red eye
Keratitis, acute glaucoma, uveitis
71
Nearsighted eyes increase risk for ___.
retinal tears -> retinal detachment
72
Wearing contact lenses increases risk for ___.
bacterial keratitis
73
What is Fluorescein dye used for?
corneal ulcers and abrasions
74
DDx: Unilateral, painless vision loss
Lens dislocation, vitreous hemorrhage, acute maculopathy, retinal detachment, retinal vein/artery occlusion, ischemic optic neuropathy
75
DDx: Unilateral, painful vision loss
Corneal abrasion, keratitis, acute glaucoma, hyphema, iritis/uveitis
76
DDx: Bilateral, painless vision loss
Pseudo-tumor cerebri, metabolic or toxic, homonymous field loss
77
DDx: Bilateral, painful vision loss
Bacterial keratitis
78
Which conditions of the eye require immediate attention?
Acute central retinal artery occlusion, acute glaucoma, infectious keratitis, iritis/uveitis, hyphema, retinal detachment
79
Hyphema
Blood in anterior chamber
80
Hyphema can spontaneously occur in what population?
Diabetics
81
What is a sign of significant vitreous hemorrhage?
Decreased red reflex
82
PE: Central retinal artery occlusion
vascular narrowing, pale retina, CHERRY-RED SPOT (macula), afferent pupillary defect
83
What is a cause of CRAO in older patients?
Giant cell (temporal) arteritis
84
Onset: CRAO vs. CRVO
CRAO - acute
| CRVO - subacute
85
PE: Central retinal vein occlusion
"Blood and thunder" fundus
86
SSx: Retinal detachment
Sudden onset of new floaters and black dots, photopsias, dec. red reflex, afferent pupillary defect (if macular involvement)
87
Etiology: acute maculopathy
severe age-related macular degeneration, diabetic retinopathy
88
SSx: Acute maculopathy
Central blind spot, blurred vision w/ visual distortion
89
Optic neuritis is associated with what other condition?
MS
90
SSx: Optic neuritis
Eye pain < movement, reduced visual acuity, washed-out color vision, afferent pupillary defect, normal/swollen optic disc
91
SSx: Papilledema
B/L optic nerve swelling w/o afferent nerve defect
92
Chiasmal visual field defects involve what visual fields?
Temporal
93
DDx: Painful red eye
corneal abrasion, foreign body, ulcer, infection, keratitis, scleritis, acute angle closure glaucoma, iritis/uveitis
94
DDx: Painless red eye
Subjunctival hemorrhage, conjunctivitis
95
Significant eye pain suggests involvement of ___
Cornea/iris b/c they are well-innervated
96
DDx: Red eye w/ impaired vision
Allergic, acute glaucoma, iritis, corneal dz
97
DDx: Abrupt onset of red eye
Trauma
Foreign body
Chemical/UV exposure
Gonococcal conjunctivitis
98
DDx: Subacute onset of red eye
Non-gonococcal conjunctivitis
99
DDx: Chronic/Persistent onset of red eye
Infection (Staph, Chlamydia, Moraxella)
100
DDx: Recurrent red eye
Allergic conjunctivitis, reactive arthritis
101
Eye discharge is suggestive of ___.
conjunctivitis
102
DDx: Red eye w/ photophobia
Iritis, corneal dz, acute angle closure glaucoma
103
What test is used to differentiate between refractive errors and serious structural disease?
Pinhole test
104
DDx: Location of injection
Periphery - conjunctivitis
Ciliary (perilimbal) - sign of deeper structures
Localized - foreign body, abrasion, ulcer
Margins of lid - blepharitis
105
What is the MC pathogen for external hordeolums (stye)?
Staph aureus
106
Glands involved: External vs. internal hordeolum
External - Zeiss/Moll glands
| Internal - Meibomian glands
107
Term: Chronic internal hordeolum
Chalazion
108
Pain: External vs. internal hordeolum
External - more
| Internal - less
109
What is the MC type of malignant eyelid tumor?
BCC
110
Papillary changes (red bumps) underneath the eyelids are suggestive of ___.
bacterial/allergic conjunctivitis
111
Follicular changes (pale patches) underneath the eyelids are suggestive of ___.
Chlamydia/viral conjunctivitis
112
DDx: Serous conjunctival d/c
Viral, allergic, toxic conjunctivitis
113
DDx: Mucoid conjunctival d/c
Allergic, dry eyes, blepharitis
114
DDx: Purulent conjunctival d/c
Bacterial
115
DDx: Mucopurulent conjunctival d/c
Chlamydial
116
SSx: Gonococcal conjunctivitis
Hyperacute onset, red/swollen eye, copious thick purulent d/c
117
Dx: Gonococcal conjunctivitis
Gram stain
118
Tx: Gonococcal conjunctivitis
REFER
119
SSx: Adenoviral conjunctivitis
Mild photosensitivity, morning crust w/o pain, U/L or B/L, normal vision, mildly erythematous eyelid
120
Which type of adenoviral conjunctivitis is more severe and presents with a foreign body sensation?
Epidemic keratoconjunctivitis
121
Vision: Adenoviral conjunctivitis vs. Epidemic keratoconjunctivitis
Adenoviral - normal vision
| Epidemic - decreased by 2-3 lines
122
SSx: Bacterial conjunctivitis
Thick yellow d/c, acute onset, crusting, painless, normal cornea/anterior chamber
123
How to do eye irrigation
Wash medial to lateral to avoid infection of lachrymal apparatus
124
Herbs for bacterial conjunctivitis
Hydrastis, Berberis, Hamamelis, Fennel, Calendula, Euphrasia
125
Antibiotic tx for bacterial conjunctivitis
Erythromycin ophtalmic ointment
126
Bacterial conjunctivitis: Ars
Burning/edema, hot d/c, intense photophobia, > warmth
127
Bacterial conjunctivitis: Allium cepa
Streaming eyes/nose, sneezing, sore nose d/t d/c
128
Bacterial conjunctivitis: Euphrasia
Catarrhal conjunctivitis, constant watering of eyes, burning/acrid d/c, burning/swelling of lids, constant blinking
129
Bacterial conjunctivitis: Puls
Profuse yellow d/c, no excoriation, itching/burning eyes, < warm room
130
Course: Viral conjunctivitis
Sxs may get worse for 3-5 days and persist for 2-3 weeks
131
SSx: Chlamydia conjunctivitis
Doesn't response to topical tx, follicular conjunctivitis, chemosis, lid edema, mucopurulent d/c, usu B/L, mb preauricular adenopathy
132
What % of pts with chlamydia conjunctivitis develop GU sxs?
60%
133
Tx: Chlamydia conjunctivitis
Azithromycin 1 g dose
134
Supplement that increases tear quality and quantity
NAC
135
What deficiencies can cause blepharitis?
B6, biotin, riboflavin, zinc
136
Dacryocystitis
Swelling/redness of lacrimal sac from infection
137
Supplement that may improve meibomian gland function
O3FA
138
Dacryostenosis
Obstruction of nasolacrimal duct
139
How do you assess patency of nasolacrimal duct?
Apply fluorescein to affected eye and insert cotton swab in ipsilateral nare -> dye should be visible within one minute
140
Violaceous hue of the eye suggests ___.
H. influenza infection
141
SSx: Periorbital cellulitis
Swelling/redness/pain of eyelids, acute onset, low-grade fever
NO exophthalmos, ophthalmoplegia, and visual loss
142
Preferred antibiotic tx of periorbital cellulitis in children
Ceftriaxone
143
What is the MC predisposing factor for orbital cellulitis in children?
Ethmoid sinusitis
144
SSx: Orbital cellulitis
Swelling/redness/pain of eyelids, acute onset, low-grade fever
PLUS diplopia, pain w/ eye movement, vision loss, proptosis, sluggish light reflex or afferent pupillary defect
145
Complications: Orbital cellulitis
Cavernous sinus thrombosis, brain abscess, meningitis, death
146
Supplement to prevent blindness in children
Vitamin A
147
SSx: Iritis
Eye pain, photophobia, decreased visual acuity, small/irregular pupil, ciliary injection
148
What is an important PE finding in iritis?
Presence of cells/flare in the anterior chamber w/ slit lamp exam ("light in fog")
149
Adjunctive naturopathic tx: Iritis
Bromelain, curcumin, mydriatic drops, hydro
150
Patients with uveitis have lower serum levels of ___.
Zinc, Selenium
151
What types of drugs can exacerbate keratoconjunctivitis sicca?
Retinoids, tranquilizers, diuretics, antihypertensives, OCPs, anticholinergics
152
Aqueous tear-deficient keratoconjunctivitis sicca is MC found in what population?
Post-menopausal women
153
What test can be used to diagnose aqueous tear-deficient keratoconjunctivitis sicca?
Schirmer test
154
What syndrome can also cause keratoconjunctivitis sicca?
Sjogren's syndrome
155
Correlations have been seen between dry eyes and ___.
IBS
156
What vitamin deficiencies are associated with dry eyes?
Vitamin A, D
157
SSx: Superficial punctate keratitis
Photophobia, foreign body sensation, lacrimation, conjunctival hyperemia, deceased visual acuity
158
PE: Superficial punctate keratitis
Slit lamp exam shows superficial lesions that stain with fluorescein dye
159
SSx: Corneal abrasion
Pain < movement, slightly blurred vision
160
PE: Corneal abrasion
Abrasion will produce an apple-green fluorescence under cobalt-blue light
161
Tx: Corneal abrasion/ulcers
Antimicrobial drops
162
SSx: Corneal ulcer
Pain, photophobia, visual impairment if central cornea is involved
163
SSx: Herpes Simplex Keratitis
Red eye, photophobia, foreign body sensation, watery d/c
164
PE: Herpes Simplex Keratitis
U/L, mild conjunctival injection, epithelial dendrites on slit lamp w/ fluoresceine stain
165
Complications: Herpes Simplex Keratitis
Vision loss, decreased corneal sensation
166
Tx: Herpes Simplex Keratitis
REFER
167
What vitamin decreases the duration of vaginal HSV sxs by 57% and TF mb helpful in Herpes Simplex Keratitis?
Vitamin C
168
SSx: Herpes Zoster Ophthalmicus
Pain, HA, photophobia, mb decreased visual acuity
169
PE: Herpes Zoster Ophthalmicus
Painful maculopapular rash w/ vesicles, Hutchinson's sign, mb ocular involvement
170
PE (ocular sxs): Herpes Zoster Ophthalmicus
keratitis, uveitis, glaucoma, scleritis, optic neuritis
171
Hutchinson's sign
Vesicles on the tip of the nose --> Herpes Zoster Ophthalmicus
172
Vitamin supplementation: Herpes Zoster Ophthalmicus
B12 (dec. post-herpetic neuralgia sxs), Vit E
173
Episcleritis
Inflammation of CT under conjunctiva
174
Acne rosacea is a less common cause of what eye condition?
Episcleritis
175
Eye pain: Episcleritis vs Scleritis
E - Mild
| S - Severe
176
Onset of sxs: Episcleritis vs Scleritis
E - Sudden
| S - Gradual
177
Visual changes: Episcleritis vs Scleritis
E - No blurred vision/photophobia
| S - Blurred vision/photophobia
178
DDx: Episcleritis
Scelritis, Conjunctivitis
179
Course: Episcleritis
Resolves spontaneously within days
180
What is the MC known cause of scleritis
RA
181
SSx: Scleritis
Red eye (UL or BL), blurred vision, photophobia, significant eye pain
182
What is the eye pain like in scleritis?
Deep, boring, toothache-like radiating to the eyebrow/cheeks/temples
183
PE: Scleritis
Decreased visual acuity, localized/raised hyperemia of sclera, elevated scleral vessel,
184
Blanching with topical Phenylephrine: Episcleritis vs Scleritis
E - Blanches
| S - Does NOT blanch
185
Use of topical phenylephrine is contraindicated in what condition?
Glaucoma
186
DDx: Scleritis
Episcleritis, conjunctivitis, iritis, acute angle-closure glaucoma
187
What vitamin deficiency has been associated with scleritis?
Vitamin B12
188
What herbs can be used for tissue repair in scleritis?
Gotu kola, bilberry
189
Course: Scleritis
Months-years
190
Complications: Scleritis
Scleral thinning or perforation, vision loss
191
What is the leading cause of impaired vision and blindness in the US?
Cataracts
192
What is the #1 surgery done per year for patients on Medicare?
Cataract
193
Hx: Cataract
Gradual loss of vision, difficulty driving at night
194
What is the significance of the red reflex in evaluating for cataracts?
If the red reflex is present, it is unlikely that the cataracts are the cause of visual problems
195
Risk factors: Cataracts
Ocular dz/injury/surgery, DM, Galactosemia, UV light, Smoking, Genetics, Slow acetylators
196
Use of what drug class has been associated with increased cataract incidence?
Statins
197
What is the evidence for use of antioxidants in prevention of cataracts?
NONE
198
What diet is associated with lower incidence of cataract?
Mediterranean
199
What enzyme increases polyols, which cause diabetic cataracts?
Aldose reductase
200
Which natural agents have been shown to inhibit aldose reductase?
Ginger, Curcumin, Quercitin, Flavonoids
201
If dysglycemia is a contributing factor for risk of cataracts, treat with ___.
Chromium
202
What herb has been used traditionally as an alterative to prevent cataracts?
Chaparral
203
What lymphagogue has been seen clinically to stabilize or reduce cataracts?
Cineraria maritime
204
What herb stopped progression of cataracts in 97% of subjects in an observational trial?
Vaccinium (bilberry)
205
Pathophysiology: Presbyopia/Myopia
Lens lose ability to accomodate w/ age -> loss of near vision
206
There is a strong association between presbyopia and increased ___.
homocysteine
207
Asthenopia
Weakness/fatigue of eyes
208
Tx: Asthenopia
Bilberry
209
Tx: Myopia
Vit D3, Calcium
210
Sxs: Acute angle closure glaucoma
Red eye, N/V, diminished vision
211
PE: Acute angle closure glaucoma
Perilimbal injection, cloudy cornea, narrow anterior angle, fixed/dilated pupil
212
Above which level is intraocular pressure associated with risk for glaucoma?
>16 mmHg
213
Risk factors: Primary open-angle glaucoma
Age, darker skin, increased IOP, myopia, DM, HTN, EtOH, hypothyroid, FHx, low antioxidant status
214
One theory for POAG is that deficiencies in ___ lead to high intraocular levels of ___, a known neurotoxin.
Glutathione
| Glutamate
215
Progression of vision loss in POAG?
Peripheral initially, progressing to central
216
PE: Primary open-angle glaucoma
Loss of peripheral fields, increased cup-disc ratio, increased IOP
217
What type of agents should be avoided in Primary open-angle glaucoma?
Vasoconstrictors (coffee, nicotine)
218
Conventional Tx: Primary open-angle glaucoma
Beta-blockers, cholinergics
219
MOA: Vitamin C in Primary open-angle glaucoma
Helps restore normal collagen metabolism, decreases IOP via osmotic effect
220
Which class of natural agents have neuroprotective and antioxidant characteristics and can be helpful in glaucoma?
Flavonoids
221
Eye drops of what herb have been shown to decrease IOP?
Forskolin, Fennel
222
Which natural agent works by increasing levels of Vitamin C, CoQ10, and Glutathione?
Alpha lipoic acid
223
3 Theories of Primary open-angle glaucoma pathophysiology
Mechanical (IOP), Vascular (HTN), Glutamate toxicity
224
What is the area of greatest visual acuity in the eye?
Macula
225
What % of 75 yo have some degree of ARMD?
8%
226
What is the MC type of ARMD?
Dry (80-95%)
227
Sxs: Dry ARMD
Gradual loss of vision, esp. central vision
228
PE: Dry ARMD
Drusen bodies are evident before onset of central vision loss
229
Onset: Dry vs. Wet ARMD
D - Gradual
| W - Acute
230
Risk factors: Wet ARMD
Age, smoking, FHx, cataract surgery, HTN, obesity, hyperlipidemia, oxidative stress, Caucasian, sun exposure
231
ARMD is associated with ___(2).
CV risk factors, early dementia
232
What mineral has been shown to improve ARMD?
Zinc sulfate
233
What are two carotenoids found in high concentrations in the macula and mb useful in ARMD?
Lutein, Zeaxanthin
234
What amino acid is found in high concentrations in the retina and mb useful in ARMD?
Taurine
235
Blood vessels: Dry vs Wet ARMD
Dry - No new BV
| Wet - New, fragile BV
236
Vision loss in diabetic retinopathy is secondary to __(2).
Hemorrhages -> scar tissue -> retinal detachment
237
What natural agent retards progression of retinopathy and partly recovers visual acuity?
Pycnogenol
238
Amblyopia
When a child does not use one eye
239
Etiology: Amblyopia
Strabismus, Congenital cataracts, refractive errors
240
Screening for amblyopia
Hirschberg corneal reflection test and Cover/Uncover test
241
SSx preceding retinal detachment
Floaters (large, dark, irregular), flashes of light, blurred vision
242
PE: Retinal detachment
Irregularity, folded/darkened blood vessels
243
Subconjunctival hemorrhage
Spontaneous hemorrhage over the sclera w/ normal vision
244
Tx: Subconjunctival hemorrhage
Reassurance
245
With blunt visual trauma, refer when ___(5)
Diminished vision, Disturbed/asymmetric pupils, Evidence of retinal damage, diplopia, hyphema
246
Disturbed/asymmetric pupils are a concern when the difference is >___%.
20%
247
Homeopathy (eye trauma): Aconite
Trauma/abrasion to eye
248
Homeopathy (eye trauma): Symphytum
Specific for blunt trauma to eye/orbit
249
Homeopathy (eye trauma): Arnica
Injuries to orbit, w/ typical arnica picture
250
Diminished vision in the setting of eye trauma is significant when ___ and suggests ___(3).
>1 line decrease
corneal abrasion, retinal detachment, lens dislocation
251
History: Conjunctivitis vs Iritis
C - Painless, normal vision
| I - Pain, decreased vision
252
Hordeolum
Acute focal infx of the eye involving either glands of Zeis or moll glands
253
Chalazion
Benign, painless, bump or nodule inside upper or lower eyelid d/t blocked oil gland
254
Blepharitis
Inflammation of the eyelids
255
Tx: Wet ARMD
VEGF inhibitor
