Red Eye

Question 1

Serious eye DDX

Answer 1

acute angle closure glaucoma, iritis, iridocyclitis, uveitis, herpes simplex keratitis

Question 2

What is this?

Answer 2

acute angle closure glaucoma, iritis, iridocyclitis, uveitis, herpes simplex keratitis

Question 4

What is this?

Answer 4

Viral conjunctivitis

Question 5

What is this?

Answer 5

Vacterial conjunctivitis

Question 6

inflammation of the episclera between the conjunctiva and the sclera. Uncommon, no discharge, some pain, usually not serious

Answer 6

episcleritis

Question 8

not serious, blood in potential space between the conjunctiva and sclera

Answer 8

spontaneous subconjunctival hemorrhage

Question 9

What is this?

Answer 9

Subconjunctival hemorrhage

Question 10

starts as pinguecula, solar elastotic degeneration of the conjunctiva, advances over the cornea, medical or surgical treatment

Answer 10

pterygium

Question 11

what is this?

Answer 11

Pterygium

Question 12

benign growth of the conjunctiva, usually in the palpebral fissure

Answer 12

pterygium

Question 13

Dry eyes, lacrimal insufficiency

Answer 13

Keratoconjunctivitis Sicca

Question 14

what is this?

Answer 14

Corneal Abrasion

Question 15

What does a mucopurulent discharge suggest?

Answer 15

bacterial, viral, or mixed cause

Question 16

what does a serous (watery, clear or yellow-tinged) discharge suggest?

Answer 16

Viral cause

Question 17

What does a scant white stringy discharge suggest?

Answer 17

allergic or dry eyes (keratitis sicca)

Question 18

what does an oily discharge with greasy lids suggest?

Answer 18

blepharitis

Question 19

what does oily discharge with focal telangiectasia of lid margins suggest?

Answer 19

Acne rosacea

Question 20

What must you rule out with profuse purulence?

Answer 20

Neisseria gonorrheae

Question 21

injection of deep conjunctival and episcleral vessels overlying the ciliary region near the limbus

Answer 21

Ciliary flush

Question 22

what causes miosis on the affected side and photophobia in both eyes?

Answer 22

iritis

Question 23

forward displacement of the globe

Answer 23

proptosis

Question 24

what does sudden onset of proptosis suggest?

Answer 24

serious orbital or cavernous sinus disease

Question 25

what causes pharyngoconjunctival fever?

Answer 25

adenovirus type 3 and 7

Question 26

allergic mediated response often to medications such as sulfa. Can result in scarring and blindness

Answer 26

erythema multiforme

Question 27

when do you refer a patient out?

Answer 27

cases without improvement for several days or hyperpurulent conjunctivitis should be cultured/referred

Question 28

inflammation of the eyelid

Answer 28

blepharitis

Question 29

acute inflammation of the glands or hair follicles of the lid, external or internal

Answer 29

hordeolum

Question 30

chronic inflammation of the meibomian glands, may follow a hordeolum

Answer 30

chalazion

Question 31

use this kind of compress for bacterial conjunctivitis

Answer 31

hot

Question 32

use this kind of compress for allergic conjunctivitis

Answer 32

cool

Question 33

what should never be prescribed for analgesia?

Answer 33

topical anesthetics because they inhibit growth and healing of corneal apithelium, may produce allergic reaction

Question 34

what are the side effects of steroid drops?

Answer 34

exacerbation of herpetic and fungal keratitis, cataracts, elevated intraocular pressure and secondary glaucoma