common eye disease eye18-… · •rx. > ocular massage > a/c paracentesis carbogen...
TRANSCRIPT
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Common EYE Disease
Patcharaporn Wangvoravit
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Chief complaint -> VA drop?, Eye pain ?, One or two side?, Trauma?
Examination -> VA !!! -> RAPD -> association
Emergency eye condition >>> consult EYE
True emergency => CRAO & Chemical injury
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CRAO : central retinal artery occlusion
• Acute painless visual loss
• Unilateral, sudden onset
• May have Hx. of Amaurosis fugax
• VA drop
• RAPD +
• No sign inflamm./infection
• Quiet eye
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CRAO with sparing cilioretinal artery
Cilioretinal artery occlusion
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Hollenhorst plaques
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Timing is very importance !!!
• Concern in risk factor => cardiovascular risk, emboli, trauma->fat emboli, CNT dz., GCA
• Rx. > ocular massage
> A/C paracentesis
Carbogen inhaletion (vasodilate), hyperbaric chamber
• W/U : EKG, CRP/ESR(GCA), basic lab, echo?, carotid dropper U/S
Poor visual prognosis & permanent VL
IOP lowering
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Chemical Injury : Alkali & Acid
Alkali Burns
• Saponification of fatty acid in cell membrane • Visual prognosis - extend of ocular surface injury - presence + degree of skin burn - effected on eyelid function • Most unfavorable visual prognosis * extensive limbal epi. damage * intraocular chemical penetration
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Chemical Injury : Alkali & Acid
Acid Burns
• Denature and precipitate protein by contact • Coagulation necrosis • Mainly at epi.level -> less severe tissue damage
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• Pain control : topical tetracaine, analgesic
• Copious irrigation --> balance pH
• Remove particulate chemical : NSS flush,
forceps
• Debridement of devitalized corneal epi.
• Cycloplegia : 1% atropine
• Control IOP
Emergency Check tear 5-10 min. following
irrigation
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Test pH of eye
• Litmus test
- blue litmus paper : acid --> red
- red litmus paper : alkali --> blue
- neutral litmus paper : purple
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• Urine strip test :
- read in 60-120 sec.
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• Eye exam : vision, slit lamp, extraocular injury
• Initial evaluation stroma may difficult due to
epi. opacity
- limbal involved grade IV-V
• Delay assessment of stromal edema at 24-48
hrs. may be need
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Corneal Abrasion
• Acute eye pain with tearing
• Hx. Trauma, rubbing, FB
• Topical anesthesia may help
Before examination
• Search for FB
Rx. > Lubrication : tear
> topical ATB prophylaxis
> if not sure for infection => Don’t pressure patch
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NOT only abrasion !!!
Beware ... Infection : Ulcer
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• Eye pain, redness, tearing,
FB sensation, VA ↓,
discharge
• Hx. Trauma, FB, CL
Corneal Ulcer
• Lid inflammation, injected conjunctiva, discharge
• Whitish infiltration at cornea
• May hypopyon
• Don’t missed FB @ cornea !!!
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Consult EYE *** Don’t eye pad / pressure pad
VA drop?? Size of infiltration
Location @ cornea : central ?
Hypopyon ?? FB ??
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Not sure corneal ulcer ??
• Topical ATB : poly-oph, chloram., Tobramycin
• ATB eye ointment : chloram. EO, terramycin EO
• F/U OPD EYE
• Advice pt.
• Don’t eye pad/pressure pad >>> eye irrigation not necessary
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• Eye irritation, redness,
blurred VA
• Yellow/green discharge
• Mostly unilat -> may bilat.
Bacterial Conjunctivitis
• Topical ATB : poly-oph, chloram., Tobramycin
• ATB eye ointment : chloram. EO, terramycin EO
• Advice pt.
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• Acute onset, severe eye pain
• Massive mucopulurent discharge
• Hx. STD
• Young age • Unilat -> may bilat
Gonococcal Conjunctivitis
• Cef-3 250 mg IM single dose
• Consult eye ** -> topical ATB ± admit • Rx. Partner & Child : beware abuse
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• Eye irritation, redness,
FB sensation
• Watery discharge
• Unilat.-> bilat.
• Hx. contact pt. / Hx. URI
Viral Conjunctivitis
• Preauricular LN enlarge
• VA drop >> beware !!! EKC
• photophobia
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• Usually self-limited
• Advice eye care & hygeine
• Isolation at least 7 D
• Not eye pad ***
• Eye irrigation is not necessary !!!
• Tear => p.r.n for lubrication
• May ATB eye drop/ointment for 2nd bact. prophylaxis
• general practice not recommend use of steroid
• If suspected EKC >>> consult eye or F/U OPD EYE
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• Itching, eye irritation,
redness, FB sensation
• May mucous discharge
• Hx. AR
• Seasonal/perineal
Allergic Conjunctivitis
Rx. > Hista-oph q.i.d
> Tear
> oral in severe case
> cold compress
> mast cell stabilizer (EYE)
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• No symp., eye irritation, localized redness
• UV, wind
• Sun glasses >> tear for lubrication
• If inflammation antihistamine Ed, steroid(EYE)
• Sx. in involved visual axis/induce astig., > 3mm.
Pterygium & Pinguecula
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• Eye irritation, redness, tearing, blurred VA
• Hx. Trauma/FB mechanism
• Topical anesthesia before remove
• Must check lid
FB @ Cornea/conjunctiva
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Remove by needle NO. 20/21 >> bevel up
in horizontal fashion
beware !!! needle penetration
should remove rust ring
Med > topical ATB
> ATB eye ointment
> advice pt.
> if suspect infection F/U EYE
> not used steroid
> aware of eye pad
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• Tearing, FB sensation, eye pain
• Hx. finger, nail, tree
• Consult EYE ***
• Beware infection => ATB eye drop/ointment
• May sx., on CL, patch
• Must R/O complete laceration
Corneal Laceration
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Rupture Cornea
• Site >>> Pupil : round?, oval?, peak iris
• A/C form ?
• Uveal tissue ?
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Consult EYE !!!
Only Eye shield
Do not used eye
drop/ointment
Analgesic drug
Anti emetic drug
NPO time
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• Eye pain, irritation, FB sensation, tearing
• High velocity of FB**
• Metallic / non-metallic
• Must be R/O in every case of suspicion !!!
• Film moving eye ball
• CT orbit (non-contrast)
• Consult EYE
IOFB
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Save life first Only eye shield Consult EYE !!! NPO >> NPO time Control pain Do not use eye drop/ointment
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IOFB : Complication
• Traumatic Endophthalmitis ***
• Siderosis bulbi(metalic)
• Traumatic Cataract
• Retinal break/RRD
• VH
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Traumatic Hyphema
• Blunt injury
• Acute eye pain, photophobia, VA ↓
• If > 1/3 of A/C ...admit
• Consult EYE ***
• Microscopic hyphema : Rx as OPD
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Absolute bed rest Head up 30 ⁰ Eye shield Steroid ED (↓inflamm.), may prednisolone ATB for prophylaxis ... In some case Cycloplegic ED => 1% atropine, Cyclogyl Analgesic drug : not NSAID/ASA IOP lowering Anxiolytic drug
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Tear Canaliculi
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Fracture Orbit
ABC first
VA drop ??
RAPD + ??
Limit EOM ??
Site?
Displace ??
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AION
• Decrease VA
• RAPD +
• VF loss
• Optic disc edema
• NAION & AAION
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Source - direct inoculation : trauma
- direct spread : sinus, dental infection, dacryocystitis, hordeolum
- hematogenous spread : sepsis, OM, pneumonia
• Lesion posterior to orbital septum
• Chemosis, axial proptosis, pain
• Limit EOM, VA drop, RAPD +
• Increase IOP, papillitis
Orbital cellulitis
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• Autoimmune disease affected ocular + orbital tissue
• 25-50% of Graves’ dz onset within 6 mth after/before onset of hyperthyroidism
• Peak incidence : 5th decade + 7th decade
• 85-95% bilateral
Thyroid Associated Ophthalmopathy : TAO
• Lid lag • Lid retraction *90% unilat/bilat • Proptosis 60% • Restrictive extraocular myopathy 40% • Compressive optic neuropathy
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Lab investigation Thyroid function test => TSH, FT3, FT4 - 6% euthyroid stage Thyoglobulin Ab : TgAb TSH Receptor Ab : TRAb Thyroid Peroxidase Ab : TPOAb
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Thank You