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Conjunctivitis
Fichas del conjunto (44)
- 1-Very Contagious -Bilateral -Redness, burning, grittiness, stuck eyelids -Circumlimbal injection-redness under the lids -Hypopion -Scleritis -Papillae -Watery Discharge --> mucoplurent -Superficial corneal PEEBacterial Conjunctivitis
- 2-Adenovirus -Unilateral: 1 eye is affected first and is worse than the 2nd eye effected -Redness, watery discharge, photophobia, eyelid edema, pre-auricular lymphadenopathy -FolliclesViral Conjunctivitis
- 3Bacterial Conjunctivitis is typically caused by:H. Influenza
S. Pneumoniae
S. Aureus
Moxaxellis catarrhalis - 4TOPICAL AB treatment of Bacterial Conjunctivitis includes:Vigamox*, Moxeza, Polytrim
- 5Topical AB/Steroid Drug combination for the tx of Bacterial Conjunctivitis includes what 2 drugs and how is it dosed?1. Tobradex
2. Zylet - 6Viral Conjunctivitis is treated with:Betadine Protocol
- 7Most common form of ocular and nasal allergic conjunctivitis:Rhinoconjunctivitis
- 8redness watery ropey discharge associated w/ systemic allergies itching lid edema sneezing, nasal dischargeAllergic Conjunctivitis
- 92 Types of Allergic Conjunctivits1. 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)
- 10Allergic Conjunctivitis is treated with:Mast Cell Stabilizer/Antihistamine COMBO
OR
Steroid - 11-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
- 12Toxic 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
- 13The most important factor in the tx of Toxic Conjunctivitis is to first:ID source and discontinue its use (medication, eye drop, make-up)
- 14Toxic Conjunctivitis is treated how:Steroids QID x 7 days
AT
COOL compresses
Non preservative topical medications - 15Medicamentosa is another term used to describe which type of ConjunctivitisToxic Conjunctivitis
- 16asymptomatic "bubble" on the superficial conjunctiva containing clear fluid that is typically treated by puncturing with a needleCyst
- 17Benign 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 conjunctivaEpithelial Melanosis
- 18Small chalky yellow deposits you're born with that are non progressing and seen often in the elderlyConcretions
- 19What conjunctival condition is a CHRONIC INFLAMMATORY CONJUNCTIVAL DISEASEConcretions
- 20Prior 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
- 21Normal aging change involving redundant excessive conjunctival tissueConjunctivochalasis
- 22Conjunctivochalasis is often caused by what two lacrimal system conditions:Lid margin disease
Dry eye - 23Topical Lubricants Surgical Resection *Doxycycline* Can be used for the tx of:Conjunctivochalasis
- 24Broken blood vessel of the conjunctiva, benign and heals on its ownSubconjunctival Heme
- 25-common, biliateral, asymptomatic condition that can be treated how if inflammed?Pinguecula/Pingueculitis tx using *topical steroids if inflammed*
- 26Lids stuck shut upon wakening is a primary indicator of what conjunctivitis?Bacterial
- 27Vigamox* Moxeza* Polytrim* Are what type of drug class and are dosed how for the tx of bacterial conjunctvitisTopical AB - TID
-Self-preserved
-Doesn't wash away easily
-Safe and good for allergic conj tx too - 28Inflammatory lesion of the conjunctiva that generally appears after surgery or even after minor trauma to the conjunctiva.Pyogenic Granuloma
- 29T/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 inflammationFALSE: Site of surgery isn’t
necessarily site of
inflammation.
- 30TX for Pyogenic Granuloma includes:Steroids
Excision
Cautery - 31Occurs when the bulbar and palpebral conjunctiva stick together, preventing the eye from moving freely.Symblepharon
- 32Symblepharon may result in what 4 complications?Ocular Motility DIsorder
Diplopia
Entropion
Inadequate lid closure - 33The following are all possible etiologies for: DES Steven-Johnson Syndrome Cicatrical Pemphigold Chemical Injury EKC or other conjunctival infection complicated by scarringSymblepharon
- 34How is symblepharon treated?oculoplastics - can be released and removed
- 35Well-circumscribed, yellow-white solid mass that involves the bulbar conjunctiva at the corneoscleral limbus.Dermoid
- 36T/F: Dermoids are CONGENITAL LesionsTRUE: simple choristomatous malfrmation of dense fibrous tissue lined by conjunctival epithelium. May contain hair follicles and sebaceous glands.
- 37Dermoids are often noted where in which fine white hairs can be noted under SLINFERIOR TEMPORALLY
- 38Treatment of Conjunctival Dermoid includes:Observation and Excision for cosmetic reasons
- 39Metaplasisa of the conjunctival epithelium and tangles of keratin admixed with gas-forming bacteria (Corynebacterium xerosis).*Bitot's Spot*
- 40Bitot's Spot appears as dry, scaly, foamy patches on the BULBAR conjunctiva. (DONT confuse with ______ or ________)Dermoid or Pinguecula
- 41T/F: Bitot's Spot is asymptomaticFALSE: eyes may burn subjectively
- 42Findings of a Bitot's Spot is highly suggestive of what conditionsVita A deficiency and chronic conjunctival inflammation
- 43The 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
- 44What is the preferred treatment for pingueculitis ?Topical NSAIDS over steroids - lessens change of recurring*