Red eye and Adnexal Oncology Flashcards
What are the differential diagnoses for causes of Red Eye?
Uveitis Conjunctivitis Scleritis Acute Glaucoma Keratitis/Corneal Ulcer Orbital Cellulitis
What are the signs and symptoms of orbital/preseptal cellulitis?
Pain
Redness
Lid swelling
Otherwise well in preseptal
Orbital +
- Systemically unwell
- Diplopia, limitation in extra-ocular eye movements
- conjunctivitis/chemosis
- exophthalmos
- blurred vision
What can cause orbital/preseptal cellulitis?
Preseptal
- Lid cyst or insect bite
Orbital
- Sinusitis/dental infections
- Haematological spread
How is orbital/preseptal cellulitis managed?
Orbital
- IV Antibiotics
Preseptal
- Oral Antibiotics
- IV if worse
What is uveitis and what can cause it?
Inflammation in the eye
Iris, ciliary body/vitreous, retina/choroid/vessels
Panuveitis = multiple
Causes
- idiopathic
- associated with systemic disease (SLE, sarcoidosis)
- infection (TB, toxoplasma, syphilis, HSV, lymes, CMV
- masquerade syndromes
What is the treatment for uveitis?
Topical anti-inflammatories
Systemic steroids
Systemic immunosuppressants
What are the different types of benign eyelid tumours?
Squamous cell papilloma Basal cell papillom Melanocytic kaevus Actinic keratosis Pyogenic granuloma Others
What are the different types of malignant eyelid tumours?
Basal cell carcinoma (95%) Squamous cell carcinoma (2-5%) Sebaceous gland carcinoma Melanoma Kaposi sarcoma Merkel cell carcinoma
What are the different types of benign orbital tumours?
Capillary haemangioma
Cavernous haemangioma
Pleomorphic adenoma
Optic nerve glioma
What are the different types of orbital lacrimal tumours?
Lymphoma Metastatic regional spread Rhabdomyosarcoma Lacrimal gland carcinoma Osteosarcoma Liposarcoma Primary melanoma
What features are suggestive of basal cell carcinoma?
Slow, inexorable growth over months Usually non-pigmented, elevated, ulcerated Pearly, rolled, irregular border Telangiectasia Lack of tenderness
