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):
1

Blepharitis symptoms

1. Chronic inflammation of the eyelid
2. crusting
3. itchiness and burning of eyes

2

Blepharitis diagnosis

clinical

3

Blepharitis treatment

1. Lid hygiene
2. Antibiotic ointment for 4-6 weeks

4

Bacterial conjunctivitis symptoms

1. Redness
2. mucopurulent discharge
3. minimal discomfort
4. vision minimally affected

5

Bacterial conjunctivitis diagnosis

clinical

6

Bacterial conjunctivitis treatment

1. Resolves without tx in most
2. Neonates require tx:
Polymixin-trimethoprim

7

Viral conjunctivitis symptoms

1. Photophobia
2. redness
3. watery discharge
4. Bilateral
5. Swollen periauricular nodes
6. Often follows URI

8

Viral conjunctivitis diagnosis

Clinical
(Hx: URI or viral contact)

9

Viral conjunctivitis treatment

None, resolves on own

10

Allergic conjunctivitis symptoms

1. Itch
2. mucopurulent discharge
3. redness
4. chemosis
5. Bilateral
6. No swollen lymph nodes
7. Often seasonal

11

Allergic conjunctivitis diagnosis

clinical

12

Allergic conjunctivitis treatment

1. Avoidance of allergen
2. Artificial tears
3. Cold compress
4. Ocular antihistamines or mast cell stabilizers

13

Orbital cellulitis symptoms

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

Orbital cellulitis diagnosis

1. Clinical
2. WBC
3. URI/sinus infection Hx
4. CT or MRI to look for abscess
5. Blood cultures

15

Orbital cellulitis treatment

1. Prompt drainage of abscess
2. Systemic IV antibiotics

16

Bacterial keratitis symptoms

1. Pain
2. photophobia
3. decreased vision
4. White spot on cornea

17

Bacterial keratitis diagnosis

1. Clinical
2. Hx of trauma or contact lens wear

18

Bacterial keratitis treatment

1. Ocular emergency
2. Refer for intense antibiotic treatment

19

HSV keratitis symptoms

1. Pain
2. photophobia
3. decreased vision
4. HSV vesicles around eye

20

HSV keratitis diagnosis

clinical

21

HSV keratitis treatment

1. Topical antivirals
2. Systemic antivirals

22

Narrow angle glaucoma symptoms

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

Narrow angle glaucoma
diagnosis

Clinical—
1. mid-dilated pupil
2. cloudy cornea
3. eye is hard to the touch

24

Narrow angle glaucoma
treatment

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