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16 Cards in this Set
- Front
- Back
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Fulminant, purulent
Two to six days old Culture, Gram stain Ceftriaxone |
Gonoccocal Ophthalmia Neonatorum
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5-14 days old
Rapid antigen test, DNA probe Erythromycin |
Chlamydial Ophthalmia Neonatorum
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Unilateral, thin watery discharge
Vesicles, erosions Culture, PCR |
HSV Ophthamlmia Neonatorum
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Autosomal recessive or spontaneous
High intraocular pressure Tearing, photophobia, blepharospasm Buphthalmos (ox-eye) Corneal enlargement Cloudy cornea Abnormal iris insertion→ ↓ outflow of aqueous fluid→ ↑ intraocular pressure Surgery first choice |
Neonatal Glaucoma
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Can involve conjunctiva, cornea, retina
Primary or recurrent Unilateral conjunctivitis, rarely purulent Vesicles on lid margins Generally resolve in 2-3 weeks Can extend, can lead to blindness NEVER use steroids ALWAYS consult ophthalmology Topical trifluorothymidine, vidarabine, idoxuridine |
HSV
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Look for trauma to eye
Always suspect cornea if associated pain, photophobia Fluorescein Wood’s (cobalt blue) light Patch Refer |
Corneal Abrasion
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Usually unilateral
Clear discharge Common in newborns-from obstruction of nasolacrimal duct (dacryostenosis) with lacrimal sac distension (dacryocystocele) Treatment Massage Antibiotics Refer |
Dacrocystitis
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Also known as preseptal,
Inflammation of lids and periorbital tissues Bacteremia, trauma, infected wound, local abscess Eyelid swelling NO proptosis, normal EOM, normal pupils Group A Strep Antibiotics, close follow up |
Periorbital Cellutlitis
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Inflammation of tissues of
orbit Proptosis, limited EOM Chemosis-edema of conj. From wound, bacteremia, sinusitis (paranasal) H. flu, Staph, Strep |
Orbital Cellulitis
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Vision loss if optic n. involved
Cavernous sinus thrombosis Meningitis Abscess |
Complications of Orbital Cellulitis
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What imaging test is done to confirm Orbital Cellulitis?
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CT w/ contrast
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How is orbital cellulitis treated?
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IV antibiotics and drainage
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-Uni/bilateral
-Purulent discharge -Nontypable H. flu, Strep pneumo, Staph -Topical antibiotics |
Bacterial Conjuctivitis
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Recent URI
Little discharge, mucoid Adenovirus, enterovirus |
Viral Conjunctivitis
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Bright or dark red patches in bulbar conj.
From injury or inflammation Can occur at birth Resolve Rarely associated with blood dyscrasias |
Subconjunctival hemorrhage
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Fleshy triangular conjunctival lesion
Can encroach on cornea Elastic, hyaline degenrative changes of conjunctiva Related to UV exposure Remove if on cornea |
pterygium
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