Orthoptic Exemptions -Red Eye
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- Created by: LydiaJaneBodell
- Created on: 05-02-21 17:50
Identify the red eye:
child, proptosis, limited OM, reduced VA, orbital swelling, feeling unwell, prev sinus disease.
child, proptosis, limited OM, reduced VA, orbital swelling, feeling unwell, prev sinus disease.
Orbital Cellulitis
1 of 47
Identify the red eye:
64 year old, does a lot of computer work, has gritty, itchy, watery eyes that are worse in the mornings.
64 year old, does a lot of computer work, has gritty, itchy, watery eyes that are worse in the mornings.
Dry eye - meibomium gland dysfunction
2 of 47
Identify the red eye:
78 year old, lives in a windy, low humidity area. Has gritty, itchy eyes and feels vision is blurred. Worse at night.
78 year old, lives in a windy, low humidity area. Has gritty, itchy eyes and feels vision is blurred. Worse at night.
Dry eye - tear film deficiency
3 of 47
Identify the red eye:
Inflamed lids, eyelashes have fallen out or are misdirected, flakey/dandruffy material in eyebrows/lashes, swollen meibomium glands. Gritty, irritable eyes, watery discharge. Feels like there is something in the eye. Prev. chalazion
Inflamed lids, eyelashes have fallen out or are misdirected, flakey/dandruffy material in eyebrows/lashes, swollen meibomium glands. Gritty, irritable eyes, watery discharge. Feels like there is something in the eye. Prev. chalazion
Blepharitis
4 of 47
Identify the red eye:
Teenager. Blisters/ulcers around the eye, lid oedema, coldsore, pain, severe conjunctivitis.
Teenager. Blisters/ulcers around the eye, lid oedema, coldsore, pain, severe conjunctivitis.
Herpes Simplex Infection.
5 of 47
Identify the red eye:
Blisters/ulcers on forehead, eye, tip of nose. Corneal ulceration. Kerititis with vascularisation, corneal clouding and corneal thinning.
Blisters/ulcers on forehead, eye, tip of nose. Corneal ulceration. Kerititis with vascularisation, corneal clouding and corneal thinning.
Herpes Zoster Opthalmicus
6 of 47
Identify the red eye:
eyelashes are growing towards the eye
eyelashes are growing towards the eye
Ectropian Lid Malposition.
7 of 47
Identify the red eye:
eyelashes turning away from the globe, watery eye
eyelashes turning away from the globe, watery eye
Entropian Lid Malposition
8 of 47
Identify the red eye:
sudden onset, bright red eye. pressure/foreign body sensation in the eye.
sudden onset, bright red eye. pressure/foreign body sensation in the eye.
Subconjunctival haemorrhage
9 of 47
Identify the red eye:
watery/sticky discharge, white spots in conjunctiva (folicular) and sub epithelial cornea, prev. adenovirus, mostly unaffected VA.
watery/sticky discharge, white spots in conjunctiva (folicular) and sub epithelial cornea, prev. adenovirus, mostly unaffected VA.
Viral Conjunctivitis
10 of 47
Identify the red eye:
purulent, bloody discharge, papillary response, bilateral
purulent, bloody discharge, papillary response, bilateral
Bacterial conjunctivitis
11 of 47
Identify the red eye:
watery, mucosal discharge, papillary response, itchy eye
watery, mucosal discharge, papillary response, itchy eye
allergic conjunctivitis
12 of 47
Identify the red eye:
Irregular pupil of red reflex (posterior synechiae), ciliary blood vessels in cornea, associated ulcerative colitis, psoriasis, TB, syphilis. Acute, painful uniocular red eye. Reduced VA, photophobia.
Irregular pupil of red reflex (posterior synechiae), ciliary blood vessels in cornea, associated ulcerative colitis, psoriasis, TB, syphilis. Acute, painful uniocular red eye. Reduced VA, photophobia.
Acute Anterior Uveitis
13 of 47
Identify the red eye:
discomfort, redness improved with phenylephrine
discomfort, redness improved with phenylephrine
Episcleritis
14 of 47
Identify the red eye:
Deep pain, vision loss, redness doesn't improve with phenylephrine
Deep pain, vision loss, redness doesn't improve with phenylephrine
Scleritis
15 of 47
Identify the red eye:
Acute rise in IOP, partially dilated pupil, clouded corneal/corneal oedema, hypermetropic, east asian, elderly woman. Vomiting, nausea, severe pain, vision loss.
Acute rise in IOP, partially dilated pupil, clouded corneal/corneal oedema, hypermetropic, east asian, elderly woman. Vomiting, nausea, severe pain, vision loss.
Acute Angle Closure Glaucoma
16 of 47
Identify the red eye:
prev. surgery, immunocompromised patient, pain, vision loss.
prev. surgery, immunocompromised patient, pain, vision loss.
Sterile uveitis or endophthalmitis.
17 of 47
List the characteristics of:
Endophthalmitis (4)
Endophthalmitis (4)
- history of surgery
-immunocompromised
-pain
-vision loss
-immunocompromised
-pain
-vision loss
18 of 47
List the characteristics of:
Acute Angle Closure Glaucoma (9)
Acute Angle Closure Glaucoma (9)
-acute rise in IOP
partially dilated pupil
-elderly
-hypermetropic
-east asian
-unilateral
-severe pain
-vision loss
-nausea/vomiting
partially dilated pupil
-elderly
-hypermetropic
-east asian
-unilateral
-severe pain
-vision loss
-nausea/vomiting
19 of 47
List the characteristics of:
Scleritis (6)
Scleritis (6)
-red eye not improved with phenylephrine
-associated with systemic vasculitis
-and rheumatoid arthritis
-deep pain
-vision loss
-rare
-associated with systemic vasculitis
-and rheumatoid arthritis
-deep pain
-vision loss
-rare
20 of 47
List the characteristics of:
Episcleritis (3)
Episcleritis (3)
-red eye improves with phenylephrine
-discomfort
-common
-discomfort
-common
21 of 47
List the characteristics of:
Acute Anterior Uveitis (10)
Acute Anterior Uveitis (10)
-irregular pupil on red reflex (posterior synechiae)
-ciliary blood vessels in the cornea
-associated with ulcerative colitis;
-psoriasis;
-syphilis;
-TB
-acute
-pain
-uniocular
-photophopia
-reduced VA
-ciliary blood vessels in the cornea
-associated with ulcerative colitis;
-psoriasis;
-syphilis;
-TB
-acute
-pain
-uniocular
-photophopia
-reduced VA
22 of 47
List the characteristics of:
Orbital Cellulitis (7)
Orbital Cellulitis (7)
-proptosis
-limited OM
-reduced VA
-swelling
-children
-prev. sinus disease
-feeling unwell
-limited OM
-reduced VA
-swelling
-children
-prev. sinus disease
-feeling unwell
23 of 47
List the characteristics of:
Dry Eye (3)
Dry Eye (3)
-watery eyes
-gritty/itchy eyes
-blurred VA
-gritty/itchy eyes
-blurred VA
24 of 47
List the risk factors of:
Dry Eye (6)
Dry Eye (6)
-age
-screen work
-environment ie. wind, humidity, temp
-contact lens wear
-sjorgens syndrome
-certain medications
-screen work
-environment ie. wind, humidity, temp
-contact lens wear
-sjorgens syndrome
-certain medications
25 of 47
What are the types of dry eye, and how do you differentiate them?
-meibomium gland dysfunction - worse in the mornings,
-tear film deficiency - worse in evenings, fluorescein stain with a blue light on slit lamp - ask patient to blink then stare, look for holes in tear film, if happens in less than 10s then there is a t
-tear film deficiency - worse in evenings, fluorescein stain with a blue light on slit lamp - ask patient to blink then stare, look for holes in tear film, if happens in less than 10s then there is a t
26 of 47
List the characteristics of:
Blepharitis (8)
Blepharitis (8)
-inflamed lid margins
-loss/misdirection of eyelashes
-flakey material in eyebrows/eyelashes
-swollen meibomium glands
-gritty/irritable eyes
-watery discharge
-foreign body sensation
-recurrent chalazions
-loss/misdirection of eyelashes
-flakey material in eyebrows/eyelashes
-swollen meibomium glands
-gritty/irritable eyes
-watery discharge
-foreign body sensation
-recurrent chalazions
27 of 47
Name and describe the types of lid malposition:
-entropian - eyelashes grow towards the globe
-ectropian - eyelashes grow away from the globe, lower lid falls away from the globe
-ectropian - eyelashes grow away from the globe, lower lid falls away from the globe
28 of 47
List the characteristics of:
Entropian Lid Malposition
Entropian Lid Malposition
-eyelashes grow towards the globe
-pt may have loosening skin
-pt may have loosening skin
29 of 47
List the characteristics of:
Ectroptian Lid Malposition
Ectroptian Lid Malposition
-eyelashes grow away from the globe
-lower lid falls away from the globe
-possible facial palsy, scar tissue, loosening skin
-watery eye
-lower lid falls away from the globe
-possible facial palsy, scar tissue, loosening skin
-watery eye
30 of 47
List the characteristics of:
Subconjunctival Haemorrhage (3)
Subconjunctival Haemorrhage (3)
-sudden onset
-bright red eye
-foreign body/pressure sensation
-bright red eye
-foreign body/pressure sensation
31 of 47
List the characteristics of:
Viral Conjunctivitis (6)
Viral Conjunctivitis (6)
-watery, sticky discharge
-follicular response (white spots on conjunctiva)
-opacities in subepithelial cornea
-prev. adenovirus
-pre-auricular lymphadenopathy
-slightly blurred/unaffected VA
-follicular response (white spots on conjunctiva)
-opacities in subepithelial cornea
-prev. adenovirus
-pre-auricular lymphadenopathy
-slightly blurred/unaffected VA
32 of 47
List the characteristics of:
Bacterial Conjunctivitis (5)
Bacterial Conjunctivitis (5)
-purulent discharge
-papillary response (velvety, fleshy conjunctiva)
-if chlamydial, follicular response
-bilateral
-slightly blurred/unaffected VA
-papillary response (velvety, fleshy conjunctiva)
-if chlamydial, follicular response
-bilateral
-slightly blurred/unaffected VA
33 of 47
List the characteristics of:
Allergic Conjunctivitis (5)
Allergic Conjunctivitis (5)
-watery, mucus discharge
-papillary response
-hay fever/allergies
-slightly blurred/unaffected VA
--itching
-papillary response
-hay fever/allergies
-slightly blurred/unaffected VA
--itching
34 of 47
What would YOU do for a patient with:
Orbital Cellulitis
Orbital Cellulitis
-map their OM
-measure their proptosis
-check their vision
-immediately REFER
-measure their proptosis
-check their vision
-immediately REFER
35 of 47
What would YOU do for a patient with:
Dry Eye
Dry Eye
-advise on making environmental changes
-advise on lubricating eye drops
-if using 4-6 times a day, or post operatively: preservative free
-advise on lubricating eye drops
-if using 4-6 times a day, or post operatively: preservative free
36 of 47
What would YOU do for a patient with:
Blepharitis
Blepharitis
-encourage lid hygiene
-Meibomian gland expression
-lubricants if dry eye
-if suspected infection, refer.
-Meibomian gland expression
-lubricants if dry eye
-if suspected infection, refer.
37 of 47
What would YOU do for a patient with:
Lid Malposition
Lid Malposition
-refer for surgery or if risk of corneal exposure
38 of 47
What would YOU do for a patient with:
Subconjunctival Haemorrhage
Subconjunctival Haemorrhage
-northing, it usually self resolves
39 of 47
What would YOU do for a patient with:
Viral Conjunctivitis
Viral Conjunctivitis
-usually self resolves
-if suspected keratitis, refer
-if suspected keratitis, refer
40 of 47
What would YOU do for a patient with:
Bacterial Conjunctivitis
Bacterial Conjunctivitis
-neonatal, refer and check mum
-chlamydial, refer to STI clinic
-fusicdic acid or chloramphenicol
-discontinue contact lens wear for duration of treatment
-chlamydial, refer to STI clinic
-fusicdic acid or chloramphenicol
-discontinue contact lens wear for duration of treatment
41 of 47
What would YOU do for a patient with:
Allergic Conjunctivitis
Allergic Conjunctivitis
-if chemical, wash eye thoroughly for half an hour
-sodium chromoglycate
-sodium chromoglycate
42 of 47
What would YOU do for a patient with:
Acute Anterior Uveitis
Acute Anterior Uveitis
-refer
43 of 47
What would YOU do for a patient with:
Episcleritis
Episcleritis
-usually self resolves
-lubricating drops is discomfort
-if persists, refer
-lubricating drops is discomfort
-if persists, refer
44 of 47
What would YOU do for a patient with:
Scleritis
Scleritis
-Refer
45 of 47
What would YOU do for a patient with:
Acute Angle Closure Glaucoma
Acute Angle Closure Glaucoma
-refer
46 of 47
What would YOU do for a patient with:
Endopthalmitis
Endopthalmitis
-refer
47 of 47
Other cards in this set
Card 2
Front
Identify the red eye:
64 year old, does a lot of computer work, has gritty, itchy, watery eyes that are worse in the mornings.
64 year old, does a lot of computer work, has gritty, itchy, watery eyes that are worse in the mornings.
Back
Dry eye - meibomium gland dysfunction
Card 3
Front
Identify the red eye:
78 year old, lives in a windy, low humidity area. Has gritty, itchy eyes and feels vision is blurred. Worse at night.
78 year old, lives in a windy, low humidity area. Has gritty, itchy eyes and feels vision is blurred. Worse at night.
Back
Card 4
Front
Identify the red eye:
Inflamed lids, eyelashes have fallen out or are misdirected, flakey/dandruffy material in eyebrows/lashes, swollen meibomium glands. Gritty, irritable eyes, watery discharge. Feels like there is something in the eye. Prev. chalazion
Inflamed lids, eyelashes have fallen out or are misdirected, flakey/dandruffy material in eyebrows/lashes, swollen meibomium glands. Gritty, irritable eyes, watery discharge. Feels like there is something in the eye. Prev. chalazion
Back
Card 5
Front
Identify the red eye:
Teenager. Blisters/ulcers around the eye, lid oedema, coldsore, pain, severe conjunctivitis.
Teenager. Blisters/ulcers around the eye, lid oedema, coldsore, pain, severe conjunctivitis.
Back
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