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31 Cards in this Set
- Front
- Back
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PAM (primary acquired melanosis)
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-Pre-malignant(30%)
-biopsy -anywhere on conj, sketchy borders |
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Conjuctival nevus
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Benign, suspicios if on cornea, tarsal conj, or fornix
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Conjuctival Melanoma
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arise from PAM 75%
-primary indicator of malignancy is thickness |
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Conjuctival squamous Papilloma
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Benign tumor from HPV human papilloma virus
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Conjuctival Intraepithelial Neoplasia (CIN)
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**Most common pre-cancerous lesion on globe (leads to SCC)
-95%at limbus -gelatin mass with neo |
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Conjuctival Squamous Cell Carcinoma
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Rare, slow moving malignant tumor
-arises from CIN |
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Conjuctival Melanoma arises from _______? Squamous cell carcinoma from?
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PAM>Melanoma, CIN>Conjuctival SCC
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Simple Bacterial Conjuctivitis
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-Very acute onset (hour)
-Rare in adults -usually staph |
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Gonococcal Conjuctivitis
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-Hyperacute onset (minute)
-Purulent discharge, *pseudomembrane, *preauricular lymphnodes -Can invade intact cornea -urethral discharge in men, 50%asymptomatic in women |
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Adenoviral Conjuctivitis
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-Adults
-Nodes -one eye then other -*Follicles -Divided into 3 subtypes |
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type 1: acute non-specific follicular conjuctivitis
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Most common
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Type 2: Epidemic keratoconjuctivits (EKC)
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-Adults
-**SEI's are hallmark sign |
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Type 3: (PCF)pharyngoconjunctival fever
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-Kids
-*triad: Fever, pharyngitis, conjuctivitis -"swiming pool conjuctivitis" |
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Molluscum Contagiosum
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-Dome-shaped waxy nodules
-DNA pox viris -If multiple think AIDS |
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Allergic Conjuctivitis
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-Papillae, chemosis
-Type 1 allergic response |
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Papillae
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-Central vessel
-Eosinophils, mast cells, neutro, lymphocytes -Allergic, bacterial |
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Follicles
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-Avascular
-White/grey -Immature *Lymphocytes/macrophages -*Chlamdia, toxic, viral |
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Vernal Keratoconjuctivitis (VKC)
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-Very rare
-8yo asthmatic male with huge papillae on lid eversion, happens every spring -Intense itching -*Trantas dots(limbus), Cobblestone papillae, shield ulcer (cornea) |
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Atopic Keratoconjuctivitis (AKC)
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-young adults with hx of atopic dermatitis
-Prominent eyelid/periorbital involvment -*Dennie's lines (extra fold on lower lid) -Inferior papillae are more promenent (unlike VKC,GCP) |
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GPC giant papillary conjuctivitis
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-Contact lens use, suture, ocular prosthetic
-Itchy, *ropy, decrease CL tolerance -Upeer tarsal -Contact lens deposits(allergenic) |
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Contact lens solution hypersensitivity
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Diffuse SPK, follicular conjuctivitis
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Contact lens induce corneal NEO
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>2mm is abnormal
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Chlamydia
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-Chronic red eye
Folicles that are more apperent in inferior fornicies -lymph (PAN) |
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Opthalmia neonatorum
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Acute conjuctivits in newborn, usually chlamydia
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Tracoma
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-Leading cause of preventable blindness worldwide
-Chronic follicular conjuctivitis -Arlt lines (white horizontal lines superior tarsus) -Herbert's pits (limbal) -Leads to entropion/trichiasis |
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SLK
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-thickend red superior bulbar conj
-symptoms worse than signs (like acanthomeba) -Think thyroid disease or CL wear |
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Phlyctenulosis
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Bleph(staph), TB, acne rosacea
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Ligneous conjuctivitis
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Plasminogen deficency (catalyzies breakdown of fibrin)
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Parinaud's oculoglandular syndrome (cat scratch fever)
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*Granuloumatous palpebral conjuctivitis
-Huge lymph nodes -Cat scratch, tularemia (rabbit), TB,Syphilis |
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Pediculosis
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-Angry eyelids
-Lice, nits -caused by Phthirus pubis -Not demodicosis (mites with sleeving of lashes) |
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Pterygium
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Destroys bowman's
-ATR astigmatism -Stocker's line |
