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Flashcards in Treatment of Eye Deck (29)
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1
Q

anterior blepharitis

A

controlled by cleanliness of lid margins, eyebrows and scalp

acute exacerbations: antistaph antibiotic ointment, bacitracin or erythromycin

2
Q

posterior blepharitis

A

long term low dose oral antibiotic therapy: tetracycline, doxycycline, minocycline, erythromycin

3
Q

chalazion

A

warm compresses

after 2-3 weeks, removal by ophtho

4
Q

entropion

A

surgery if lashes rub on cornea

botox

5
Q

bacterial conjunctivitis

A

self limiting 10-14 days
topical sulfonamide or oral antibiotic
special circumstances: fluoroquinolone

6
Q

gonococcal conjunctivitis

A

ceftriaxone 1g IM

7
Q

chlamydial keratoconjunctivitis

A

1 g Azithromycin

8
Q

viral conjunctivitis

A

HSV - acyclovirs

all others: self limited, cold compresses, artificial tears

9
Q

allergy eye

A

anti-inflammatory

topical: mast cell stabilizers, antihistamines, vasoconstrictors

10
Q

keratoconjunctivitis sicca (dry eyes)

A

artifical tears: sodium chooride or hypo osmotic solution
mucomimetic: cellulose products
tenacious mucus: mucolytic agents: acetylcysteine

severe cases:
topical corticosteroids
topical immunosuppressants

11
Q

cataracts

A

surgical removal
laster treatment
phacoemulsification - for mature cataracts only

12
Q

corneal abrasion

A

bacitracin-polymyxin opthalmic ointment

mydriatic
analgestic

13
Q

anterior uveitis

A

topical corticosteroids

14
Q

posterior uveitis

A

systemic, periocular or intravitreal corticosteroid therapy

15
Q

hyphema

A

advised to rest

opthalmology assesment

16
Q

dacrocystitis/adenitits

A

acute: systemic antibiotic therapy

chronic: kept latent with antibiotics
relief of obstruction only cure: dacryocystorhihnostamy

17
Q

chronic glaucoma

A

prostaglandin analog eye drops
timolol - beta blocker
laser trabeculopathy

18
Q

optic neuritis

A

IV methylprednisolone followed by oral prednisolone

19
Q

age related macular degen atrophic (dry

A

recommended to take oral antidioxidants, zinc, copper and caretenoids

no specific treatment

20
Q

age related macular degen wet

A

VEGF

21
Q

bacterial keratitis

A

EMERGENT OPTHO REFERRAL
topical antibiotic drops: polymyxin, mycin drops
pseudomonas-fluoroquinolones

22
Q

retinal detachment

A

opthy referral, surgical treatment
laster photocoagualation
cryo to sclera

23
Q

corneal ulcer

A

topical fluoroquinolones

MUST refer to optho

24
Q

acute glaucoma

A

single IV dose of acetazolamide w topical medications that lower IOP
pilocarpine drops

25
Q

retinal vein occlusion

A

intravitreal VEGF

26
Q

retinal artery occlusion

A
if seen few hours after onset
lay pt flat
ocular massage
high conc oxygen
IV acetazolamide
27
Q

herpes zoster opthalmicus

A

acycolvirs

refer cases to optho

28
Q

papilledema

A

weight loss, acetazolamide

29
Q

diabetic retinopathy

A

optimize blood glucose, blood pressure, kidney function, serum lipids
fenofibrate and RAS inhibitos

proliferative:
IV VEGF and laser photocoagulation