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50 Cards in this Set

  • Front
  • Back
what do you call an infection of the eyelids
blepharitis
what are the bacterial causes of blepharitis
staph
what are some viral causes of blepharitis
HSV
VZV
MCV (Molluscum contagiosum)
what is orbital cellulitis?
swelling of the tissue surrounding the eye
common bacteria causing orbital cellulitis
staph a.
strep pyogenes
H. influenzae
what are the common causes of conjunctivitis (general)
infectious agents
allergies
irritants
inability to produce tears
bacterial conjunctivitis is most often caused by?
Staph (adults)
Strep pneumo (children)
H. influenzae (children)
what is the causative agent for inclusion conjunctivitis?
Chlamydia trachomatis
charicteristics of IC
papillae on the conjunctival membranes
mild discomfort with little to no discharge
what is the leading casue of preventable blindness in the world?
C. trachomatis serotypes A, B, C
what is Trachoma?
keratoconjunctivitis caused by C. trachomatis serotypes A,B,C
is one trachoma infection usually enough to cause end stage blindness?
no, repeat infections are usually required to produce end stage blindness
what is a superior limbic pannus
a fibrovascular conective tissue that develops over the cornea and causes blindness in trachoma infections
what causes corneal opacity or pannus in trachoma infections
inversion of the eyelids causes abbrasions on the cornea
what is the epidemiology of trachoma infections
assc. w/ poverty and unsanitary conditions
endemic in Africa and southwestern US
what is the transmission route for trachoma
mechanical vectors (flies)
infected fomites
hand to eye from contaminated water source
diagnosis of IC and trachoma?
conjunctival scrapings
stain with giemsa or iodine and look for inclusion bodies
FA test
is iodine an effective stain for all Chlamydia infections?
no, it does not work on C. pneumonia or C. psittaci inclusions
how do you treat IC or trachoma
erythromycin/ tetracyclines
what is opthalmia neonatorum
conjunctivitis of the newborn
what is the prophylactic treatment for opthalmia neonatorum
1% silver nitrate and erythromycin or tetracycline
what is the chance that a newborn will develop a gonorrhoea infection of the eye if the mother has an active infection?
50%
2-5 days after birth
what is the chance that a newborn will develop a chlamydial infection of the eye if the mother has an active infection?
70%
5-10 days after birth
which conjunctivitis of the newborn is typically unilateral?
C. trachomatis
aside from conjunctival infections, what is another disease associated with an infant born to a mother with a chlamydial infection?
pneumonia
what is the treatment for opthalmia neonatum
Screen the mother and treat with erythromycin to prevent it
OR
treat the newborn with oral and topical erythromycin
causes of viral follicular conjunctivitis
Adenovirus
HSV
VZV
what are commonly associated contamination sites for adenovirus
inadequately chlorinated pools
eyedrops in physicians offices
what is the cause of epidemic keratoconjunctivitis or "shipyards eye"
adenovirus, serotypes 8 & 19
another name for adenovirus caused conjunctivitis?
pharyngeal conjunctival fever
what is the difference between EKC and PCF?
they both start out the same, but EKC develops into ulcerations 10 to 14 days after initial infection
what is acute epidemic hemorrhagic conjunctivitis caused by
Coxsackie virus A24
enterovirus 70
adenovirus serotype 11
what is keratitis
imflammation of the cornea w/ moderate to severe pain, photophobia, and decreased vision
causes of viral keratitis
HSV
VZV
what is the leading cause of infections blindness in developed countries?
HSV-1
which type of keratitis is more serious, stromal or epithelial?
stromal HSV
what type of keratitis presents with dendritic ulcerations on the corneal surface
epithelial HSV
what is an indicative microscopic finding for HSV keratitis scrapings
multinucleated giant cells
when should you begin treating VZV patients
within 3 days of the appearance of lesions
acyclovir
what do punctiform lesions on the cornea indicate?
adenovirus kerititis
what is the only "true" bacterial pathogen of the eye
Strep pneumoniae
bacterial keratitis associated with soft contact lenses
Pseudomonas aeruginosa
presentation of P. aeruginosa keratitis
leukocytes in anterior chamber and corneal ulcerations
when is a corneal ulcer an emergency
any time it is cause by something other than HSV
what is the most frequent cause of life/sight threatining infections in AIDS pts
CMV
clinical diagnosis of CMV
hemorrhages, edema, and necrosis (red and white patches) on the retina
what is the treatment for a CMV infection
ganciclovir or foscarnet
what are the 4 causes of endopthalmitis?
complication of intraoccular surgery (cataract)
post traumatic
endogenous spread of pathogens
uncontrolled corneal or orbital infections
what is the typical cause of endogenous endopthalmitis
candidia
what is the most common cause of endopthalmitis
70% due to intraocular surgeries