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9 Cards in this Set
- Front
- Back
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Retinal artery occluion |
Sudden, painless, total or near total vision loss Retina is pale and edematous Central macular has cherry-red spot ***Refer to ED or opthalmologist*** |
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In reference to eye drainage, what should you ask about if they have profuse purulent discharge with preauricular adenopathy? |
Sexual partners - this could be a gonococcal infection, this can cause vision loss. |
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Name pharmacological treatment for Bacterial Conjunctivitis. |
Erythromycin 5mg/g optho ointment - 1cm strip qid for 5-7 days. Trimethoprim-polymyxin B eye drops- 1gtt q3hrs for 5-7 days. Sodium sulfacetamide 10% - 1-2gtts q3hr for 7-10 days. Ofloxacin solution- 1-2gtss qid for 5 days (especially contact wearers) Cipro drops- 1-2 gtss qid for 5d (esp. contact wearers). |
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Allergic conjunctivitis |
Bilateral...if unilater, investigate for other cause. Watery discharge, not purulent. |
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Corneal abrasion |
Unilateral severe eye pain Foreign object sensation Vision may be normal or "halo" effect |
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Name the exam to determine if a patient has any corneal abrasions. |
Fluorescein staining |
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Treatment for uncomplicated corneal abrasion. |
Contact wearers... Cipro 0.3% ointment - 0.5" qid Ofloxacin drops Gentamicin 0.3% ointment Non-contact wearers.... Erythromycin oitment Sulfacetamide 10% ointment Sodium sulfacetamide drops ***No steroids*** Oral or topical NSAIDS for pain. |
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When should an urgent referal be made to an opthalmologist when a patient has a corneal abrasion? |
Infiltrate or large abrasion. Consistent, purulent discharge. Unable to open eyes. Not able to remove foreign object. Decreased or absent vision. Abrasion that does not heal in 3 days. |
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Periorbital cellulitis |
If patient has pain with eye movements, proptosis, vision impairment, and loss of eye muscle movement indicates possible orbital involvment >>>> immediate referral to ED or opthalmologist. Involves ocular muscle anf fait in the orbit, caused by infection. |
