The Red Eye, Cataracts and Corneal Transplantation 3 Flashcards Preview

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Flashcards in The Red Eye, Cataracts and Corneal Transplantation 3 Deck (24)
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1
Q
Blepharitis symptoms
A
1. Chronic inflammation of the eyelid
2. crusting
3. itchiness and burning of eyes
2
Q
Blepharitis diagnosis
A
clinical
3
Q
Blepharitis treatment
A
1. Lid hygiene
2. Antibiotic ointment for 4-6 weeks
4
Q
Bacterial conjunctivitis symptoms
A
1. Redness
2. mucopurulent discharge
3. minimal discomfort
4. vision minimally affected
5
Q
Bacterial conjunctivitis diagnosis
A
clinical
6
Q
Bacterial conjunctivitis treatment
A
1. Resolves without tx in most
2. Neonates require tx:
Polymixin-trimethoprim
7
Q
Viral conjunctivitis symptoms
A
1. Photophobia
2. redness
3. watery discharge
4. Bilateral
5. Swollen periauricular nodes
6. Often follows URI
8
Q
Viral conjunctivitis diagnosis
A
Clinical
(Hx: URI or viral contact)
9
Q
Viral conjunctivitis treatment
A
None, resolves on own
10
Q
Allergic conjunctivitis symptoms
A
1. Itch
2. mucopurulent discharge
3. redness
4. chemosis
5. Bilateral
6. No swollen lymph nodes
7. Often seasonal
11
Q
Allergic conjunctivitis diagnosis
A
clinical
12
Q
Allergic conjunctivitis treatment
A
1. Avoidance of allergen
2. Artificial tears
3. Cold compress
4. Ocular antihistamines or mast cell stabilizers
13
Q
Orbital cellulitis symptoms
A
1. Decreased vision
2. proptosis
3. abnormal papillary response
4. optic disc swelling
5. Elevated temp and WBC
6. Often post-URI or sinus infection
7. Common in children
14
Q
Orbital cellulitis diagnosis
A
1. Clinical
2. WBC
3. URI/sinus infection Hx
4. CT or MRI to look for abscess
5. Blood cultures
15
Q
Orbital cellulitis treatment
A
1. Prompt drainage of abscess
2. Systemic IV antibiotics
16
Q
Bacterial keratitis symptoms
A
1. Pain
2. photophobia
3. decreased vision
4. White spot on cornea
17
Q
Bacterial keratitis diagnosis
A
1. Clinical
2. Hx of trauma or contact lens wear
18
Q
Bacterial keratitis treatment
A
1. Ocular emergency
2. Refer for intense antibiotic treatment
19
Q
HSV keratitis symptoms
A
1. Pain
2. photophobia
3. decreased vision
4. HSV vesicles around eye
20
Q
HSV keratitis diagnosis
A
clinical
21
Q
HSV keratitis treatment
A
1. Topical antivirals
2. Systemic antivirals
22
Q
Narrow angle glaucoma symptoms
A
1. Sudden onset of intense pain
2. red eye
3. HA
4. n/v
5. halo around eyes
6. decreased vision

(Sx are related to increased intraocular pressure and pain)
23
Q
Narrow angle glaucoma
diagnosis
A
Clinical—
1. mid-dilated pupil
2. cloudy cornea
3. eye is hard to the touch
24
Q
Narrow angle glaucoma
treatment
A
1. Ocular emergency
2. Beta blocker
3. Alpha agonist
4. Systemic carbonic anhydrase inhibitor and mannitol
5. Laser tx to poke hole in iris to drain fluid in severe cases