Optho

Question 1

Conjunctivitis

Answer 1

Findings that characterize bacterial conjunctivitis include the presence of mucopurulent discharge, glued/matted eyelids, and absence of itching or foreign body sensation.

Adenovirus is the most common cause of viral conjunctivitis. It is characterized by itchy red eyes with watery discharge, preauricular lymphadenopathy, and follicles in the lower lid conjunctiva.

Some forms of conjunctivitis require systemic treatment including ophthalmia neonatorum, and conjunctivitis caused by herpes simplex virus, Chlamydia trachomatis, or Neisseria gonorrhoeae.

Question 2

Stepwise Approach to the painful and erythematous eye

Answer 2

1. Examine pupil and ant chamber
   - if pupil is nonreactive, irregular, or hyphema = emergent optho consult
2. visual acuity
3. topical anesthetic
4. fundoscopic exam and eye motility
5. fluorescein exam
6. evert the eyelid to look for foreign body

Question 3

Corneal Abrasion Tx

Answer 3

Antibiotic Opthalmic Drops

Anesthetic, Corticosteroid, and Eye patching are CONTRAINDICATED

Question 4

Pseudostrabismus

Answer 4

Normal red reflex and corneal light reflex

Normal cover test