Shared Flashcard Set

Details

Ophthalmology
Dz of Conjunctiva, cornea,+ eyelids
58
Health Care
Graduate
01/24/2008

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Cards

Term
Most common conjunctivitis, benign dz
Definition
Allergic conjunctivitis
Term
1/2 of pts have Hx of atopy; may by vernal or seasonal
Definition
allergic conjunctivitis
Term
Stringy, ropy, whitish discharge; chemosis; hyperemia
Definition
Allergic conjunctivitis
Term
lymphoid follicles may be found at the limbus
Definition
Allgergic conjunctivitis
Term
SSx: purulent green discharge, "crusty" eyes, no blurry vision, mild discomfort
Definition
Bacterial Conjunctivitis
Term
Tx for Bacterial conjunctivitis
Definition
erythromycin
Sulfacetamide
Fluoroquinolone drops
Term
conjunctivitis associated with URI Sx
Definition
Viral conjunctivitis
Term
usually caused by:adenovirus
herpes simplex, varicella zoster, coksakie virus, CONTAMINATED SWIMMING POOLS
Definition
Viral conjunctivitis
Term
usually associated with malaise, pharyngitis, fever, pre-auricular lymphadenopathy
Definition
Viral conjunctivitis
Term
Dry eyes
Definition
keratoconjunctivitis sicca
Term
causes of this Dz include: aging, ectropion, vit A deficiency, Sjogrens syndrome, excessive evap
Definition
keratoconjunctivitis sicca
Term
Schrimer's test used for?
Definition
keratoconjunctivitis sicca
Term
SSx: scratchy eyes, erythema, difficulty blinking and moving eyes, photophobia, pain, burning
Definition
keratoconjunctivitis sicca
Term
imflam of episcleral CT
Definition
episcleritis
Term
Commonly associated systemic disorders include: inflam. bowel dz, ulcerative colitis, Crohn's Dz
Definition
episcleritis
Term
Triangular wedge of conjunctiva that extends onto cornea
Definition
Pterygium
Term
High recurrence rate; related to UV exposure and dry air, may encroach on vision in cornea involvement
Definition
Pterygium
Term
Peribulbar lesion composed of basophilic subepithelial tissue; does not encroach on cornea
Definition
Pinguecula
Term
Painless, yellow nodule on nasal or temporal side of conjunctiva; due to sun, wind, and sand exposure
Definition
Pinguecula
Term
localized blunt trauma that results in bleeding from subconjunctival blood vessels
Definition
Subconjunctival hemorrhage
Term
Due to: blunt trauma (sneezing, straining), h/o of ASA, NSAIDS, poorly controlled HTN
Definition
Subconjunctival hemorrhage
Term
Disorders of Cornea
Definition
Corneal ulcers:
Acanthamoeba Histolytica
Bacterial
Fungi
Herpes Keratitis
Herpes zoster keratitis
Term
Rapidly evolving whitish ulcer
Seen in immunocompromised pts
inflam, erythema, pain
Definition
Acanthamoeba Histolytica Corneal ulcer
Term
Tx for: Acanthamoeba Histolytica Corneal ulcer
Definition
Immediate referral
Amphotericin B
Sulfa drugs
Aminoglycosides
Term
Can get from wearing contacts
Cornea is hazy with central ulcer
Hypopyon often present
Definition
Bacterial keratitis
Term
Tx for Bacterial keratitis
Definition
Fortified Abx hourly
Term
SSx of Bacterial keratitis
Definition
pain
Photophobia
tearing
reduced vision
circumcorneal injection
hypopyon often present
Term
grayish corneal infiltration leads to ulcer
Pain
visual changes
tearing
hypopyon may occur
Definition
Fungal Corneal Ulcer
Term
more common with increased steroid use in eye or in immunocompromised pts
Definition
Fungal Corneal Ulcer
Term
Tx for Fungal Corneal Ulcer
Definition
Nantamycin
Amphotericin
Niconazole
Term
one of the most common causes of corneal ulcers in the US
Definition
herpes simplex keratitis
Term
Hallmark: dendritic ulcer
Steroids contraindicated
Definition
herpes simplex keratitis
Term
Tx for:herpes simplex keratitis
Definition
Acyclovir(anti-virals)
viroptics
Term
not a primary infection
Definition
herpes zoster keratitis
Term
SSx: malaise, HA, erythema, vesicular eruption (dermatomal pattern, neuralgic pain
Linear pseudodentrites; AVOID STEROIDS
Definition
herpes zoster keratitis
Term
Disorders of eyelids and lacrimal system
Definition
Blepharitis
Chalazion
Dacrocystitis
Ectropion & entropion
Hordeolum
Term
chronic inflammation of lid margins; usually bilateral
Definition
Blepharitis
Term
Tx for: Blepharitis
Definition
Staph: Abx
Seborrheic: selenium sulfide shampoo
Term
Complications of: Blepharitis
Definition
hordeolum
chalazion
corneal inflammation
Term
SSx: irritation, erythema, crusting, scaling, FB or sandy sensation, loss of lashes, lid edema
Definition
Blepharitis
Term
Chronic inflam of meibomian gland, occurs due to occlusion of duct
Definition
chalazion
Term
Tx for chalazion
Definition
hot warm compress
ABx not usually used
Bx - r/o basal cell carcinoma
I&D if chronic
Term
Complications of chalazion
Definition
cellulitis
astigmatism
Term
like a hordeolum, but as lid swelling resolves, a grayish or red mass continues to enlarge
Definition
chalazion
Term
infection or inflammation of lacrimal sac; females > 40 y/o
Definition
Dacrocystitis
Term
causes of Dacrocystitis in infants and adults
Definition
Infants: dacryostenosis
Adults: trauma, deviated septum, rhinitis, polyps, infection
Term
SSx of Dacrocystitis in infants and adults
Definition
infants: constant tearing and incomplete opening of nasal or lacrimal duct
adults: pain, erythema, edema +/- mucous discharge
Term
Tx in infants: tear duct message; Abx; nasolacrimal duct probe
Adults: treat promptly to prevent secondary preseptal or cellulitis, sepsis, meningitis;
Definition
Dacrocystitis
Term
outward turning of eyelid marging; bilateral
Definition
ectropion
Term
excessive tearing, irritation, corneal exposure, and can cause drying of eyes
Definition
ectropion
Term
excessive tearing, irritation, corneal exposure, and can cause drying of eyes
Definition
ectropion
Term
Tx of ectropion
Definition
ocular lubrication
Term
inward inversion of the eyelid
Definition
entropion
Term
degeneration of fascia --> orbicularis musce overrides fascia and turns lid inwards
Definition
entropion
Term
Tx for entropion
Definition
surgery - to prevent corneal abrasion, scarring, infection of cornea
Term
Internal sty affects the...
External sty affects the...
Definition
Meibomian
zeis or moll glands
Term
acute inflam of Meibomian gland or eyelash follicle glands
Definition
hordeolum
Term
acute red, swollen and tender area on upper or lower eyelid; can be associated with blepharitis
Definition
hordeolum
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