Tmod Review Session

Front 1

What condition might cause itchy, red, or swollen lids?

Back 1

allergic dermatitis

Front 2

What is the treatment for allergic dermatitis?

Back 2

Hydrocortisone 1% cream

Front 3

What syndrome is often characterized by thickened fissured appearance to outer eyelids?

Back 3

atopic dermatitis

Front 4

What do you call papillae when they are on the limbus?

Back 4

trantas dots

Front 5

What do you call papillae on the superior palpebral conjunctiva?

Back 5

cobblestone papillae

Front 6

How are vernal keratoconjunctivitis and atopic keratoconjunctivitis different?

Back 6

VKC is usually teenage boys, occurs in summer/warmer climates, has large cobblestone papillae. AKC occurs more in middle age men, the papillae are fine and small and typically occur on the inferior fornices and tarsal conjunctiva with a pale appearance. AKC ocular signs are mild and have been described as featureless. Peripheral corneal neovascularization, cataract, and milky conjunctival appearance are features that belong to AKC, not VKC

Front 7

What are two main types of allergic conjunctivitis?

Back 7

seasonal allergic conjunctivitis and perennial allergic conjunctivitis

Front 8

What type of allergic conjunctivitis is most often caused by dust, mites, animal dander, and other household allergens?

Back 8

Perrenial allergic conjunctivitis

Front 9

What type of allergic conjunctivitis is caused by airborne allergens like pollen and occurs in individuals of all ages?

Back 9

Seasonal allergic conjunctivitis

Front 10

What type of hypersensitivity reaction is seasonal allergic conjunctivitis?

Back 10

Type I hypersensitivity reaction

Front 11

What condition often presents with atophy shiners?

Back 11

Atopy shiners refer to the bags under the eyes appearance associated with atopic dermatitis induced eye rubbing.

Front 12

When must mast cell stabilizers be used?

Back 12

E.g. alocril, alomide, and alomast, must be used prior to histamine release or they are ineffective.

Front 13

What is the acronym for mast cell/antihistamine combination drugs?

Back 13

EZ-POP

1. Elestat
2. Zaditor
3. Patanol
4. Optivar
5. Pataday

Front 14

What type of conjunctivitis is often associated with thyroid disease or secondary to contact lens wear?

Back 14

superior limbic conjunctivitis in up to 50% of cases

Front 15

What condition has the characteristic red velvety appearance of the superior tarsal conjunctiva?

Back 15

Superior limbic conjunctivitis

Front 16

What chlamydial serotypes cause trachoma?

Back 16

a through c, just like in the word tra-choma

Front 17

How do you treat mild SLK?

Back 17

1. AT gtt 4-8xday
2. AT ung qhs (Refresh PM)
3. Superior puncta occlusion

Front 18

How do you treat moderate SLK?

Back 18

1. Tx for mild SLK
2. Silver nitrate (0.5-1.0%) applied to superior tarsal and bulbar conjunctiva in office with cotton tip applicator for 10-20 seconds after instillation of proparacaine. Then irrigate and Rx for erythromycin 1 gtt qhs x 1 week. If this doesn't work after 2-3 applications, refer for thermocauterization or surgical resection of superior conjunctiva.
3. Acetylcysteine 10% 3-5xday

Front 19

How do you treat a mild adenoviral conjunctivitis? How long will it last?

Back 19

cold compresses, ATs, maybe a mild vasoconstrictor, but it should be gone within 2 weeks treatment or not

Front 20

How do you treat a severe adenoviral conjunctivitis?

Back 20

lotemax or other esther rather than ketone based steroid

Front 21

How do you treat simple bacterial conjunctivitis in adults?

Back 21

fluoroquinolone qid x 1 week
polytrim qid x 1 week
tobramycin qid x 1 week-but not if the cornea is involved because aminoglycosides are toxic to the cornea

Front 22

How do you treat simple bacterial conjunctivitis in children?

Back 22

1. polytrim qid x 1 week like adults
2. polysporin ung qid x 1 week (bacitracin + polymyxin) if they child cries a lot and gtts are difficult to administer effectively

Front 23

How do you treat gonococcal conjunctivitis with the cornea not involved?

Back 23

1. Ceftriaxone 1 gm IM x 3-5 days
2. Azithromycin 1g for possible co-infection with chlamydia as for all gonococcal conjunctivitis

Front 24

How do you treat gonococcal conjunctivitis if the cornea is involved?

Back 24

1. Ceftriaxone 1 gram IV bid usually after 3-5 days it will resolve and Tx can be d/c
2. Azithromycin 1g for possible co-infection with chlamydia as for all gonococcal conjunctivitis

Front 25

How do you treat adult inclusion conjunctivitis? More importantly, what will not be effective?

Back 25

1. 1000 mg Azithromycin once, 500 mg Azithromyicn twice, or 250 mg Azithromycin four times
2. Doxycycline 100 mg po bid x 10 days.
3. Remember that since this is due to systemic chlamydia, topical antibiotics will not be effective.

Front 26

How do you treat opthalmia neonatorum?

Back 26

This is passed from mother with chlamydia to baby in the first month of life and presenting as chlamydial conjunctivitis. Use prophylactic erythromycin ung.

Front 27

How do you treat trachoma conjunctivitis?

Back 27

SAFE strategy
1. Surgery for trichiasis
2. Antibiotics repeated every 6-12 months in endemic areas. Use oral azithromycin or doxycycline dosed as in adult inclusion conjunctivitis
3. Facial hygiene
4. Environmental hygiene.