EYEcomplaints2

DRADHAMKHALEK

• 52yearold• Htn• Aspirin&ramipril• Nohx trauma• Painless• Va 6/6withglasses

Subconjunctivalhaemorrhage

• Traumatic,spontaneousorrelatedtosystemicillness• Asymptomatic• Deepred• Suddenonset• Normalva

Subconjunctivalhaemorrhage

• Ifspontaneouscheckbp• Reassure• Resolvein2weeks

• 32yearold• Nopmh ordrughx• Visitingfromitaly• Lumpappearedover3days• Painful,tenderlump• Normalva

Stye /hordeola

• Acute,localised abscessoneyelid• Painful,localised tenderswellingoverafewdays• Usuallysingleeye• Maybe>1• Va unaffected• External– follicle• Internal- meibomian

Stye /hordeola

• Initialmxsame• Epilateeyelash• Notopicalabx (unlessalsohaveconjunctivitis)• Warmcompresses5-10minsqds• Simpleanalgesia• Lidhygeine

• 62yearold• Lumpineyelidforweeks• Painless• Nochangeinvision

Chalazion /meiobian cyst

• Sterilechronicgranuloma• Spont orfromstye• Hard,painless,palpable• 2-8mmindiameter• Developoverweeks• Morecommoninuppereyelid• Normalva• lumponeyelideversion

Chalazion /meiobian cyst

• 25-50%resolvespontaneously• Last6-12weeks• Warmcompresses15-30minsbd &massageeyelid

• 31yearold• Itchyeyes• Alwaysstucktogetherinthemorning• Normalva

blepharitis

• Inflammationofeyelidmargins• Eyelidsred,burn,itch,stick• Normalva• Botheyesmaybeaffected• Symptomsintermittentwithexacerbations&remissions• Anterior– basesofeyelashesinflammed• Posterior– meibomium glandsinflammed

blepharitis

• Warmcompresses• Eyelidhygeine• Avoidmakeup• Secondlinetopicalabx 6/52• Ifstaphinfectionuseabx firstline

• 43yearold• Hx ofsle• Moderatediscomforttoeye• Mildlightsensitivity• Occaisional waters• Normalva

Episcleritis

• Inflammatoryconditionaffectingepiscleral tissue• Mostidiopathicbut1/3mayhaveunderlyingcondition• 70%diffuse,30%nodular• Last7-10days,mostresolveby2-3weeks• Mildtomoderatediscomfort,maybepainless• Waterydischarge• photophobia

Episcleritis

• Self-limitingcondition• Artificialtears• Severe/prolongedmayneedsteroids• Sunglassesiflightsensitive

• Painfuleye• Feelsmayhavefb• Photophobic• Everythingblurry• Va 6/18inaffectedeye(6/6inothereye)

Ulcerativekeratitis

• Blurredvision,decreasedva• Lightsensitive• Fbsensation• Erythemaofeyelid&conjunctiva• Discharge• Pupillaryconstrictionsecondarytociliaryspasm• Ulceration• hypopyon

Ulcerativekeratitis

• Broadspectrumabx• Cycloplegic drops• Emergencyreferral

• 19yearoldstudent• Contactlenswearer• Red,itchyeyewithsomedischarge• Normalva withPinHole correction

conjunctivitis

• Stickyeyes• Normalva• Normalcornea• Irritantvsallergicvsinfective

conjunctivitis

• Avoidcontactlenses• Otc eyelubricant• Eyehygeine• Washhands• Rarelyrequirestreatment• Willclearwithin1-2weeks• If>2weeksthentopicalabx untilclearofsymptomsfor48hrs

conjunctivitis

• Avoidcontactlenses• Otc eyelubricant• Eyehygeine• Washhands• Rarelyrequirestreatment• Willclearwithin1-2weeks• If>2weeksthentopicalabx untilclearofsymptomsfor48hrs

• 22yearold• Unwell– takenotc flumedication• Worsteverheadache• VomitingandabdominalPain• Decreasedva

Acuteclosedangleglaucoma

• Intensepain• Redeye• Headache• Halosaroundlights• Mistyvision,decreasedva• Vomiting• Fixedmiddilatedpupil• Increasediop (>21mmhg)

Acuteclosedangleglaucoma

• Ivacetazolamide5oomgivthen500mgpo• Analgesia&anti-emetics• Pilocarpine1-2%dropsqds• Urgentophthalmologyref.