Ophtho - The Red Eye (Of Sauron)

Front 1

Purulent discharge points towards?

Back 1

Bacterial conjunctivitis

Front 2

Watery discharge points towards?

Back 2

Viral conjunctivitis

Front 3

Stringy and white discharge points towards?

Back 3

Allergic conjunctivitis

Front 4

Tender preauricular nodule points is indicative of viral, bacterial, or allergic conjunctivitis?

Back 4

Viral conjunctivitis

Front 5

Treatment for viral conjunctivitis

Back 5

Cool compresses and lubricating drops for most cases. Severe cases can be treated with judicious use of topical steroids.

Front 6

What is the treatment for allergic conjunctivitis?

Back 6

Cool compresses, topical antihistamines (levocabastine), NSAIDs (ketorolac), mast-cell stabilizers (lodoxamide), or multiaction (olopatadine, ketotifein) and systemic antihistamines.

Front 7

What is the treatment for bacterial conjunctivitis?

Back 7

Polymyxin/trimethoprim, ofloxacin, levofloxacin, or ciprofloxacin - topical antibiotic drops

Erythromycin or bacitracin - topical antibiotic ointment

Front 8

Chlamydia conjunctivitis

Back 8

Typically found in neonates and sexually active adults. Can cause systemic disease in neonates. Can last weeks to months without treatment in adults. Treat with systemic erythromycin or tetracycline.

Front 9

Blepharitis

Back 9

Inflammation of the eyelid margin. Treatment includes warm compress, eyelid scrubs, antibiotic ointment, and occasionally systemic tetracyclines.

Front 10

Ophthalmia neonatorum

Back 10

Neonatal conjunctivitis; can be caused by many things, including silver nitrate prophylaxis, chlamydia, gonococcus, and other bacteria.

Treatment includes lubrication and follow up. Current prophylaxis is erythromycin ophthalmic ointment.

Front 11

Acanthamoeba keratitis

Back 11

An uncommon parasitic corneal infection

Front 12

Bacterial ulcers

Back 12

Red eye, painful, and light sensitive; often associated with contact lens use.

Treatment for mild to moderate corneal ulcers includes topical fluoroquinolones (ciprofloxacin, levofloxacin, or ofloxacin). Treatment for moderate to severe corneal ulcers includes topical fortified antibiotics (tobramycin or gentamycin) alternating with cefazolin or vancomycin every 30-60 minutes.

Front 13

Herpes simplex keratitis

Back 13

Tree branching area of staining (dendritic) with fluorescin; moderate pain; vision minimally decreased; aggravated by topical steroids; demands emergent treatment.

Front 14

Iritis

Back 14

Symptoms include circumcorneal injection, photophobia secondary to blunt trauma, and keratitis. It is associated with systemic disease (sarcoidosis and connective tissue diseases). Often idiopathic.