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14 Cards in this Set
- Front
- Back
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Acute angle closure glaucoma
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SLE (angles <1/4), GAT, Pupils
Sx: pain, blurry vision (acute), nausea, HA’s Look for: increased IOP’s, decreased VA’s, mid-dilated pupils, narrow/closed angles Ptn. profile: hyperope, Eskimo, HTN, (+) cardiovascular diz. |
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Bacterial conjunctivitis
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SLE (inf lids/cornea), Pupils
Sx: pain, tenderness, (+) inferior papillae, - follicles, pain, red eye (acute), mucopurulent discharge Look for: copious discharge, chemosis, hyperemia, (+) PAN, red, swollen lids, subconj hemes Ptn. profile: (+) venereal disease |
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Corneal abrasion
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SLE (cornea), NaFl, lid eversion, pupils
Sx: trauma, pain, photophobia, FB sensation, tearing, red eye, blepharospasm Look for: central punctate staining (CL overwear), NaFl staining, FB |
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Corneal ulcer
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SLE (cornea), NaFl
Sx: pain, photophobia, decreased VA, swelling Look for: localized NaFl pooling, AC reaction, grey-white ulcer (Staph) Ptn. profile: EW SCL wearer, corneal trauma, tear film anomalies |
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Dry eye
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NaFl, TBUT
Sx: dry, gritty, sandy feeling, burning epiphora, photosensitivity Look for: inferior 1/3 NaFl staining, band pattern staining, dry mucous membranes, decreased TBUT (< 10 sec), abnormal Schirmers ( < 5mm? ) Ptn. profile: older, postmenstral women, lagophthalmos, associated Sjogren’s, Stevens-Johnson, SCL wearer, meds: antihist., sedatives, diuretics, beta blockers, parasympatholytics, Accutane |
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Foreign body
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SLE (cornea), NaFl
Sx: FB sensation, tearing, pain, photophobia, red eye, hyperemia Look for: FB tracks, epithelial staining, rust rings, AC rxn. |
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Giant papillary conjunctivitis
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SLE (superior cornea), lid eversion, NaFl
Sx: itching (mechanical), tearing, mucous discharge, FB sensation, photophobia Look for: cobblestone papillae superior palperbral conj. Ptn. profile: CL wearer |
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Herpes simplex
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SLE (cornea, AC), NaFl
Sx: lid vesicles, mild fever, (+) PAN, mild/moderate pain Look for: dendritic corneal ulcers w/ terminal end bulbs (stain well with NaFl and Rose), decreased corneal sensitivity, tender PAN, diffuse SPK, SEI’s, AC rxn Ptn. profile: younger, teens, hx of primary HSV type I infections |
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Herpes zoster
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SLE (cornea, AC), NaFl
Sx: pain, HA, fever, malaise, chills, painful neuralgia, prodome, FB sensation Look for: vesicular lesions that respect midline (head, torso), pseudo-dendrite ulcers without terminal end bulbs, (-) NaFl, (+) Rose, Hutchinson’s sign, diffuse SPK, petechial sub conj hemes Ptn profile: olders |
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Iritis
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SLE (conical beam), GAT
Sx: red eye, decreased VA’s, photophobia, dull pulsating pain (deep), pain with accommodation Look for: AC reaction (cells and flare), decreased IOPs |
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Pterygium
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SLE (conj/limbus/cornea), NaFl
Sx: usually asymptomatic, maybe decreased vision, induced astigmatism, red eye, FB sensation Look for: white/pink triangular tissue growth on nasal/temp. conj/cornea, associated dellen Ptn profile: ptn who spends a lot of time outdoors |
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Trichiasis
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SLE (inferior lid margin), NaFl
Sx: red eye, FB sensation, chronic tearing, decreased Vas Look for: entropion, misdirected lashes, epithelial defects (staining, infections, ulcers), SPK |
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Recurrent corneal erosions
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SLE (cornea), NaFl
Sx: pain when you get up in the morning, photophobia, tearing, blur, FB sensation Look for: + NaFl staining, microcysts, ridges of epithelial basement membrane Ptn profile: + MDF, trauma |
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Viral conjunctivitis
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SLE (inferior palp conj, cornea), Lid eversion, PAN
Sx: FB sensation, irritation, red eye (hyperemia), swollen lids Look for: inferior follicular response, tender PAN, clear/watery discharge, pseudomembranes |
