Ophthalmology 2
Terms
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- differentiate acute bacterial conjunct from allergic
-
bacterial: eyes stuck shut, no rhinorrhea.
allergic: clear bilateral discharge and rhinorrhea. - eye pain, phtophbia, red eye
- uveitis. may have vision decreased. associated with JRA, Kawasakis, Behcet, Reiter, IBD
- orbital cellulutis signs, bacteria
- edema, conjunctivitis proptosis, restricted EOM. S. pneumo, H flu, S aureus. GAS
- complications of orbital cellulitis
- subperiosteal abscess, cavernous sinus thrombosis, meningitis, brain abscess.
- infant with: tearing, photophobia, conjunctival injection, large corneas, no red reflex
- infantile glaucoma most preseent within 6mo.
- newborn: leukocoria, hearing impairment, no other problems. which infection.?
- congenital rubella is most associated with cataracts.
- ROP exam time
- 31-33wks gestational age <1500g, <33wks at risk
- leukokoria
- most common presentation of retinoblastoma. parents often notice first. strabismus is second most common sign. 13-18mo is average age of dx.
- retinoblastoma genetics
- most are sporadic. some AD with complete penetrance.
- hordeolum
- painful inflammation of ciliary follicle and sebaceous gland. S aureus. warm compress 20 min several times a day. opthalmic erythromycin.
- chalazian
- painless lump. no signs of infalmmation. more often points inward. resolves spontaneously. no help with warm compress or abx. removal if recurrent or if large and blocking vision
- salt and pepper fundus
- congenital syphilis
- differentiate bacterial, viral, allergic conjunct
-
bacterial: eyelids stuck shut
viral: clear discharge, not stuck shut
allergic: bilat, no eyelids stuck - congenital ptosis
- malformation of levator muscle. botulism is progressive and systemic. MG does not manifest with eye findings in babies.
- occular manifestation of sturge weber
- glaucoma on affected side
- papilitis
- inflammed optic nerve head. viral post URI. unilat. visual decrease. optic disk looks inflammed and engorged. Different than papilledema which has normal vision.
- management of corneal abrasion
- broad spectrum abx. no patch. reeval in 48hrs if not improving refer.