Tx and Follow Up

Question 1

What is the F/U interval for bacterial conjunctivitis?

Answer 1

2 days after initial Tx

Every 3-5 days until resolution

Question 2

What are some good options for bacterial conjunctivitis Tx?

Answer 2

Ocuflox (Ofloxacin)
Zymaxid (Gatifloxacin)
Polytrim
Erythromycin

Question 3

What causes GPC to arise in contact lens wearers?

Answer 3

Allergic reaction to lens materials
Mechanical friction due to lens edge interactions
Immunological response to lens deposits

Question 4

Which condition often results in itching after removing contact lenses?

Answer 4

GPC

Question 5

What are the common symptoms of GPC?

Answer 5

Itching after removing lenses
Stringy mucous worse in the morning
Excessive movement of CLs
Decreases lens tolerance
Blurred vision

Question 6

What lid abnormality may be observed after severe longstanding GPC (not papillae)?

Answer 6

Ptosis

Question 7

What is the typical Tx for GPC?

Answer 7

Topical MCS
Topical steroid for severe cases
Refit into different lenses

Question 8

In corneal abrasions in CL wearers, an antibiotic that protects against what organism is necessary?

Answer 8

Pseudomonas
Ex. FLQs, tobramycin
Dosing QID

Question 9

What is the typical F/U of a small peripheral abrasion?

Answer 9

2-5 days, with F/U every 2-5 days until healed

Question 10

When should F/U for a large abrasion, patched abrasion, or central abrasion occur?

Answer 10

1 day