Conjunctivitis

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Dr. Tonkery Lecture 1
Julia Todd
FlashCards por Julia Todd, atualizado more than 1 year ago
Julia Todd
Criado por Julia Todd mais de 7 anos atrás
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-Very Contagious -Bilateral -Redness, burning, grittiness, stuck eyelids -Circumlimbal injection-redness under the lids -Hypopion -Scleritis -Papillae -Watery Discharge --> mucoplurent -Superficial corneal PEE Bacterial Conjunctivitis
-Adenovirus -Unilateral: 1 eye is affected first and is worse than the 2nd eye effected -Redness, watery discharge, photophobia, eyelid edema, pre-auricular lymphadenopathy -Follicles Viral Conjunctivitis
Bacterial Conjunctivitis is typically caused by: H. Influenza S. Pneumoniae S. Aureus Moxaxellis catarrhalis
TOPICAL AB treatment of Bacterial Conjunctivitis includes: Vigamox*, Moxeza, Polytrim
Topical AB/Steroid Drug combination for the tx of Bacterial Conjunctivitis includes what 2 drugs and how is it dosed? 1. Tobradex 2. Zylet
Viral Conjunctivitis is treated with: Betadine Protocol
Most common form of ocular and nasal allergic conjunctivitis: Rhinoconjunctivitis
redness watery ropey discharge associated w/ systemic allergies itching lid edema sneezing, nasal discharge Allergic Conjunctivitis
2 Types of Allergic Conjunctivits 1. Seasonal: AKA Hay Fever is worse in the spring* and summer* (Sensitivity to grass, pollen, or others depending upon geographic location) 2. Perennial: associated with symptoms throughout the year but is worse in the fall* (Sensitivity to house dust mites, animal dander, fungal allergens)
Allergic Conjunctivitis is treated with: Mast Cell Stabilizer/Antihistamine COMBO OR Steroid
-sudden onset, even with long term use of causative agent (medication) -bilateral -lid edema -redness -watery discharge -papillae -lids may appear *LEATHERY* or thickened* Toxic Conjunctivitis
Toxic Conjunctivitis is often misdiagnosed initially as another type of itis and treated with an AB/steroid - what is wrong with treating Toxic Conjunctivitis with a steroid? Relapse as soon as steroid os discontinued
The most important factor in the tx of Toxic Conjunctivitis is to first: ID source and discontinue its use (medication, eye drop, make-up)
Toxic Conjunctivitis is treated how: Steroids QID x 7 days AT COOL compresses Non preservative topical medications
Medicamentosa is another term used to describe which type of Conjunctivitis Toxic Conjunctivitis
asymptomatic "bubble" on the superficial conjunctiva containing clear fluid that is typically treated by puncturing with a needle Cyst
Benign condition that stabilizes by early adulthood. Seen in darker-skinned pt's and is caused by melanin that may extend to peripheral cornea from the conjunctiva Epithelial Melanosis
Small chalky yellow deposits you're born with that are non progressing and seen often in the elderly Concretions
What conjunctival condition is a CHRONIC INFLAMMATORY CONJUNCTIVAL DISEASE Concretions
Prior to removal of concretions of the conj with a needle, what MUST be done first? Before removing concretions with a needle must *check for concretion stains with NaFl and cobalt blue filter before removing
Normal aging change involving redundant excessive conjunctival tissue Conjunctivochalasis
Conjunctivochalasis is often caused by what two lacrimal system conditions: Lid margin disease Dry eye
Topical Lubricants Surgical Resection *Doxycycline* Can be used for the tx of: Conjunctivochalasis
Broken blood vessel of the conjunctiva, benign and heals on its own Subconjunctival Heme
-common, biliateral, asymptomatic condition that can be treated how if inflammed? Pinguecula/Pingueculitis tx using *topical steroids if inflammed*
Lids stuck shut upon wakening is a primary indicator of what conjunctivitis? Bacterial
Vigamox* Moxeza* Polytrim* Are what type of drug class and are dosed how for the tx of bacterial conjunctvitis Topical AB - TID -Self-preserved -Doesn't wash away easily -Safe and good for allergic conj tx too
Inflammatory lesion of the conjunctiva that generally appears after surgery or even after minor trauma to the conjunctiva. Pyogenic Granuloma
T/F: Pyogenic Granulomas appears as a fleshy, fast growing, red, pedunculated, vascular masses and bleeds easily. In which the site of surgery is = to the site of inflammation FALSE: Site of surgery isn’t necessarily site of inflammation.
TX for Pyogenic Granuloma includes: Steroids Excision Cautery
Occurs when the bulbar and palpebral conjunctiva stick together, preventing the eye from moving freely. Symblepharon
Symblepharon may result in what 4 complications? Ocular Motility DIsorder Diplopia Entropion Inadequate lid closure
The following are all possible etiologies for: DES Steven-Johnson Syndrome Cicatrical Pemphigold Chemical Injury EKC or other conjunctival infection complicated by scarring Symblepharon
How is symblepharon treated? oculoplastics - can be released and removed
Well-circumscribed, yellow-white solid mass that involves the bulbar conjunctiva at the corneoscleral limbus. Dermoid
T/F: Dermoids are CONGENITAL Lesions TRUE: simple choristomatous malfrmation of dense fibrous tissue lined by conjunctival epithelium. May contain hair follicles and sebaceous glands.
Dermoids are often noted where in which fine white hairs can be noted under SL INFERIOR TEMPORALLY
Treatment of Conjunctival Dermoid includes: Observation and Excision for cosmetic reasons
Metaplasisa of the conjunctival epithelium and tangles of keratin admixed with gas-forming bacteria (Corynebacterium xerosis). *Bitot's Spot*
Bitot's Spot appears as dry, scaly, foamy patches on the BULBAR conjunctiva. (DONT confuse with ______ or ________) Dermoid or Pinguecula
T/F: Bitot's Spot is asymptomatic FALSE: eyes may burn subjectively
Findings of a Bitot's Spot is highly suggestive of what conditions Vita A deficiency and chronic conjunctival inflammation
The finding of Bitot's spot on the conjunctiva during SL examination calls for what kind of tx: Refere to PCP for Vitamin A deficient Evaluation
What is the preferred treatment for pingueculitis ? Topical NSAIDS over steroids - lessens change of recurring*

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