Disease Mx

Card Set Information

Author:
Alicat38
ID:
239767
Filename:
Disease Mx
Updated:
2013-10-09 16:47:01
Tags:
Mx ocular disease
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Description:
Ocular disease Mx
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  1. Trichiasis Mx
    • 1. Art tears
    • 2. lid hygiene (if blepharitis present)
    • 3. broad spectrum phrophylactic antibiotic
    • 4. bandage CL
    • 5. epilation of lashes (removal with tweezers)
    • 7. electrolysis/laser ablation/cryotherapy
  2. Causes of madarosis
    • A SECONDARY condition
    • -chronic blepharitis
    • -psoriasis
    • -leprosy
  3. Causes of blepharitis
    • -staph
    • -seborrhoeic (oily skin)
    • -meibomian seborrhoeic
    • -mixed
  4. Tx of anterior blepharitis
    • -warm compresses 15 mins qd/tea bags
    • -artificial tears
    • -polysporin ophth. ung (with warm compresses)

    If severe (corneal involvement)... use topical fluoromethalone (FML) steroid
  5. systemic causes of posterior blepharitis
    • -rosacea
    • Sign: obstructed meibomian orifices
  6. Mx of posterior blepharitis
    • -warm compresses
    • -artificial tears
    • -oral tetracycline or doxycycline or erythromycin is tetracyclines contraindicated (6-12 weeks)
  7. Mx of chalazion
    • -May clear without Tx (wait and see) -hot compresses and massage
    • -triamcinolone (steroid injection)
    • -tetracycline (system Ab for rosacea)
    • -Sx
  8. Mx of internal hordeolum
    • -warm compresses
    • -system Ab rarely needed
  9. Mx of external hordeolum
    • -warm compresses
    • -epilation may speed resolution
    • -Ab not indicated
  10. Sturge-Weber Syndrome Mx
    • -ipsilateral glaucoma tx, antiseizure meds, laser skin
    • -choroid "tomato catsup fundus"
    • -CN V
  11. Neurofibromatosis Mx
    • dysfunction of neural crest cells
    • -lisch nodules on iris
    • -optic gliomas, unilateral proptosis, decreased acuity, strab, papilledema, optic atrophy, CRV occlusion
  12. Ectropion Mx
    • -art tears and ung at night
    • -lid taping at night
    • -tarsorrhaphy (sewn shut) or inferior lid shortening Sx for severe cases

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