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Acute bacterial conj?
- sx: acute, red, gritty, burning, discharge- mucopurulent, bilateral, papillary reaction- tarsal, lids stuck together on waking, conjunctival unjection, eyelid edema, superficial punctate conreal staining
- tx: antibiotics
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gonococcal keratoconj?
- bacterial
- sx: purulent discharge, chemosis, eyelid swelling, hyperaemia, pseudomembrane
- worst case: ulceration, perforation, endophthalmitis
- tx: antibiotics
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meningococcal conjunctivits?
- kids
- assoc subconjunctival haemorrhages
- keratitis, ulceration
- tx: antibiotics
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Trachoma serotypes A-C?
classic trachoma
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adult chlamydial keratoconju?
- sx: bi.uni redness, watery, mucopurulent discharge
- large follicles, inf fornices
- peripheral corneal infiltrates
- tx: erythromycin/tetracycline
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What is arlt's line?
conjunctival scar seen in adult chlamydial KC
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What are the clinical features of the 2 stages og trachoma?
- active: conj follicular, mucopur, cornea- limbal follicls, pannus, punctate keratitis
- cicatricial: trachomatous scarring
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Trachoma tx?
- SAFE
- S: surgery
- A: antibiotics
- F: facial cleanliness
- E: enviro improvement
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neonatal conj?
bilateral conjunctival inflammation
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Adenoviral KC?
- viral: PCF- kids, keratitis, mild
- EKC- VERY contagious, keratitis
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Adenoviral KC sx and tx?
- sx: acute watery, redness, follicles, photophobia, pink eye
- severe: chemosis, pseudo
- tx: hygiene, stop CL, spontaneous, tear supps
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Molluscum contagiosum?
- kids, immuno, DNA poxvirus
- sx: waxy eyelid nodules, chronic, unilateral, irritation, self limiting, mild discharge
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acute haemorrhagic conj?
- rapid onset and resolution
- sx: bilateral burning, watering, discharge, lid swelling, follicular, subc haem
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acute allergic rhinoconj?
- transient acute attacks of redness, watering, itching, sneezing and nasal discharge
- develop allergies in childhood
- sx: lid edema, chemosis, conj edema, mild papillary action
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SAC?
- hayfever
- tx: mast sell stabilisers, antihistamines
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PAC?
- throughout year
- tx: mast cell stabilisers, antihistamines
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VKC?
- bilatera, reccurent involving IgE
- B, 7-10
- sx: itching, tearing, redness, photo, burning, thick mucous discharge
- palpebral: macropapillae, mucous between
- progression-> plaque formation- exposed bowman's-> mucous, fribin
- tx: mast cell stabilisers, antihistamine
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Horner trantas dots?
- small white elevated lesions at limbal
- desquamated epithelial cesll and eosinophils
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AKC?
- genetic disposition to hypersensitivity
- rare bi chronic
- young men, ezcema
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AKC sx and tx and ddx?
- sx: red thickened lids with staph bleph and madarosis
- conj- giant pap, scarring of tarsal, cicatricial conj, symblepharon
- ddx: vkc- except more sever and inremitting
- tx: same as vkc, less response, longer time
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GPC?
- associated CL wear
- sx: FB, redness, itching, loss of CL tolerance, micropap
- tx: remove CL, clean, change material, mast cell stabilisers, steroids
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OCP/cMMP?
- hyperaemia, pseudomembrane, symblepharon, keratinisation
- SJS
- tx: systemic therapy- control active disease
- local therapy- control inflammation
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SLK?
- bilateral, chronic, upperlimbus and superior bulbar
- sx: burning, photo, mucoid discharge, fb
- causes papillary inflammation: looser superior bulb- rubbing
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Parinaud oculoglandular sydnrome?
granulomatous conjunctivitis
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Ligneous conj?
- v rare, children, plasmoinogen defect
- sx: recurrent, bi, firm fibrin lesion on tarsal plates
- gradual, thick mucoid discharge
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factitious conj?
- self injury, abrasion, toxic drops?
- check staining
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