Download - ED Eye Complaints - i3em.yolasite.com
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EYEcomplaints2
DRADHAMKHALEK
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• 52yearold• Htn• Aspirin&ramipril• Nohx trauma• Painless• Va 6/6withglasses
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Subconjunctivalhaemorrhage
• Traumatic,spontaneousorrelatedtosystemicillness• Asymptomatic• Deepred• Suddenonset• Normalva
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Subconjunctivalhaemorrhage
• Ifspontaneouscheckbp• Reassure• Resolvein2weeks
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• 32yearold• Nopmh ordrughx• Visitingfromitaly• Lumpappearedover3days• Painful,tenderlump• Normalva
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Stye /hordeola
• Acute,localised abscessoneyelid• Painful,localised tenderswellingoverafewdays• Usuallysingleeye• Maybe>1• Va unaffected• External– follicle• Internal- meibomian
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Stye /hordeola
• Initialmxsame• Epilateeyelash• Notopicalabx (unlessalsohaveconjunctivitis)• Warmcompresses5-10minsqds• Simpleanalgesia• Lidhygeine
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• 62yearold• Lumpineyelidforweeks• Painless• Nochangeinvision
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Chalazion /meiobian cyst
• Sterilechronicgranuloma• Spont orfromstye• Hard,painless,palpable• 2-8mmindiameter• Developoverweeks• Morecommoninuppereyelid• Normalva• lumponeyelideversion
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Chalazion /meiobian cyst
• 25-50%resolvespontaneously• Last6-12weeks• Warmcompresses15-30minsbd &massageeyelid
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• 31yearold• Itchyeyes• Alwaysstucktogetherinthemorning• Normalva
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blepharitis
• Inflammationofeyelidmargins• Eyelidsred,burn,itch,stick• Normalva• Botheyesmaybeaffected• Symptomsintermittentwithexacerbations&remissions• Anterior– basesofeyelashesinflammed• Posterior– meibomium glandsinflammed
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blepharitis
• Warmcompresses• Eyelidhygeine• Avoidmakeup• Secondlinetopicalabx 6/52• Ifstaphinfectionuseabx firstline
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• 43yearold• Hx ofsle• Moderatediscomforttoeye• Mildlightsensitivity• Occaisional waters• Normalva
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Episcleritis
• Inflammatoryconditionaffectingepiscleral tissue• Mostidiopathicbut1/3mayhaveunderlyingcondition• 70%diffuse,30%nodular• Last7-10days,mostresolveby2-3weeks• Mildtomoderatediscomfort,maybepainless• Waterydischarge• photophobia
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Episcleritis
• Self-limitingcondition• Artificialtears• Severe/prolongedmayneedsteroids• Sunglassesiflightsensitive
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• Painfuleye• Feelsmayhavefb• Photophobic• Everythingblurry• Va 6/18inaffectedeye(6/6inothereye)
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Ulcerativekeratitis
• Blurredvision,decreasedva• Lightsensitive• Fbsensation• Erythemaofeyelid&conjunctiva• Discharge• Pupillaryconstrictionsecondarytociliaryspasm• Ulceration• hypopyon
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Ulcerativekeratitis
• Broadspectrumabx• Cycloplegic drops• Emergencyreferral
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• 19yearoldstudent• Contactlenswearer• Red,itchyeyewithsomedischarge• Normalva withPinHole correction
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conjunctivitis
• Stickyeyes• Normalva• Normalcornea• Irritantvsallergicvsinfective
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conjunctivitis
• Avoidcontactlenses• Otc eyelubricant• Eyehygeine• Washhands• Rarelyrequirestreatment• Willclearwithin1-2weeks• If>2weeksthentopicalabx untilclearofsymptomsfor48hrs
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conjunctivitis
• Avoidcontactlenses• Otc eyelubricant• Eyehygeine• Washhands• Rarelyrequirestreatment• Willclearwithin1-2weeks• If>2weeksthentopicalabx untilclearofsymptomsfor48hrs
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• 22yearold• Unwell– takenotc flumedication• Worsteverheadache• VomitingandabdominalPain• Decreasedva
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Acuteclosedangleglaucoma
• Intensepain• Redeye• Headache• Halosaroundlights• Mistyvision,decreasedva• Vomiting• Fixedmiddilatedpupil• Increasediop (>21mmhg)
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Acuteclosedangleglaucoma
• Ivacetazolamide5oomgivthen500mgpo• Analgesia&anti-emetics• Pilocarpine1-2%dropsqds• Urgentophthalmologyref.