describe a bacterial conjunctivitis
- red eye
- unilateral
- thick purulent discharge
- NO LAD
- NO itch
- treated with topical antibiotics
describe a viral conjunctivitis
- red eyes
- bilaterla
- watery discharge
- periauricular LAD
- itchy
- no specific tx
red eye and history of trauma
abrasion
sand in my eye and red eye
abrasion
diagnosis of ocular abrasion
fluorescin stain
tx of ocular abrasion
no specific tx, ? patch
red eye and pain– what eye findings
FIXED MIDPOINT PUPIL– non-reactive to light in glaucoma; hard to palpation
most accurate test for glacuoma
tonometry
chronic glaucoma tx
- prostaglandin analogues: latanoprost, travoprost, bimatoprost
- pilocarpine
- laser trabeculoplasty
- alpha blockers: apraclonidine
- beta blockers: topical– timolol, cartelol, metipranolol, betaxolol, levobunolol
- carbonic anhydrase inhibitors: dorzolamide, brinzolamide
acute angle closure glaucoma tx
AMPI
- acetazolamide IV
- mannitol IV
- pilocarpine, beta blockers, apraclonidine
- iridiotomy- laser
how does uveitis present
red eye+ PHOTOPHOBIA
diagnostic test for uveitis
slit lamp exam
what to avoid in herpes keratitis
STEROIDS
tx of cataracts
surgical removal of lens, and replace with new intraocular lens
most accurate test in diabetic retinopathy
fluorescin angiography
non- proliferative diabetic retinopathy tx
diabetic control
proliferative diabetic retinopathy tx
laser photocoagulation
acute painless monocular vision loss differential
central retinal artery OR vein occlusion
retinal exam for retinal artery occlusion
cherry red macula, pale retina
retinal exam for retinal vein occlusion
extravasation of blood into the retina
painless unilateral loss of vision– curtain coming down
retinal detachment
tx of retinal detachment
MECHANICAL
- surgery
- laser
- cryotherapy
- injection of expansile gas– pushes retina back up against globe of eye
MCC blindness in elderly
macular degen
tx of atrophic macular degen
NO PROVEN effective tx
