Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
8 Cards in this Set
- Front
- Back
|
Acute bacterial conjunctivitis management |
1. Usually self limiting in 1-2 week 2. Topical antibiotic to relieve symptom Polytrim 1 gtt qid for 7-10 days 3. In severe case, increased initial dosage: 6-8 times daily, then qid for 7-10 days - oral antibiotic is needed for severe cases in children 4. For most topical antibiotic, the dosage is at least 4 times until discontinued, if not more frequent, to prevent bacterial resistance 5. No topical steroid 6. FU: daily until consistent improvement is noted, then every 2-3 days until condition resolved |
|
|
Chronic bacterial conjunctivitis management |
Topical systemic |
|
|
Chlamydial conjunctivitis |
Mucopurulent discharge Swollen preauricular node Punctate epithelial keratitis |
|
|
Chlamydial inclusion conjunctivitis management (3) |
Oral 1. Azithromycin 1g po single dose 2. Doxycycline 100 mg po bid for 1-3 weeks 3. Erythromycin 500 mg po qid for 7 days
2. Topical Erythromycin or Tetracycline ointment bid o tid 2-3 weeks
3. FU: 2-3 weeks depending on the severity |
|
|
Adenoviral conjunctivitis management |
1. Self limited infection - resolve spontaneously over 14-21 days 2. Corneal infiltrate can last for many months 3. Supportive therapy may be prescribed - topical steroid: naphazoline drop 4-6 times per day (may mass the symptoms of the infection and may promote viral replication) - cold compress and AT 4. Antibiotic is not necessary unless treating secondary infection 5. Educate the patient on proper hygiene 6. Off label use of Betadine 5% (povidone-iodine) 7. Zirgan (0.15% Ganciclovir ophthalmic gel) is effective to treat Epidemic Keratoconjunctivitis 8. FU: 2-3 weeks or depending on sign and symptom |
|
|
Hyperacute bacterial conjunctivitis management |
Systemic treatment is mandatory in this condition, topical treatment is only adjunctive
The patient and sexual partner must be promptly referred for venereal aspect of N. gonorrhea and other sexual transmitted disease
Topical therapy: - warm saline qid to rinse the discharge - Erythromycin, tobramycin or bacitracin ung qid - Fluoroquinolone (ciprofloxacin 0.3%) q2h for 4-7 days |
|
|
Trachoma management |
Topical Tetracycline ointment bid on an intermittent schedule (5 consecutive days each month for 6 months) |
|
|
Superior limbic keratoconjunctivitis |
1. Steroid 2. Antibiotic (Polytrim bid) 3. Ocular lubricant (Artelac q1h) 4. Topical Cyclosporine e.g. Restasis bid q4h
5. Suggested medication: 10-20% acetylcysteine qid and 4% cromolyn sodium q4h
6. In severe case: silver nitrate 0.5% applied on a cotton tipped applicator for 10-20 seconds to superior tarsal and bulbar conjunctiva after local anesthesia, irrigation with saline and antibiotic ointment e.g. Erythromycin qhs for 1 week
7. Bandage contact lens, punctual occlusion
8. Treat associated problem e.g. Dry eye, bacterial conjunctivitis
9. FU: every 2-3 week during exacerbation period |
