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    Eye Notes From Lecture

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    Teehee Jones
    This document provides an overview of ophthalmic terminology and how to examine the anterior and posterior segments of the eye. It discusses various causes of a red eye, including infectious conjunctivitis, iritis, corneal abrasions, hyphema, and alkali burns. It also covers age-related conditions like cataracts that present as a white eye. Examinations should check visual acuity, pupillary response, intraocular pressure, and use fluorescein staining to examine the cornea and distinguish between infections like herpes simplex. Corticosteroids should not be used to treat herpetic keratitis.

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    Eye Notes From Lecture

    Uploaded by

    Teehee Jones
    32 views2 pages
    This document provides an overview of ophthalmic terminology and how to examine the anterior and posterior segments of the eye. It discusses various causes of a red eye, including infectious conjunctivitis, iritis, corneal abrasions, hyphema, and alkali burns. It also covers age-related conditions like cataracts that present as a white eye. Examinations should check visual acuity, pupillary response, intraocular pressure, and use fluorescein staining to examine the cornea and distinguish between infections like herpes simplex. Corticosteroids should not be used to treat herpetic keratitis.

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    This document provides an overview of ophthalmic terminology and how to examine the anterior and posterior segments of the eye. It discusses various causes of a red eye, including infectious conjunctivitis, iritis, corneal abrasions, hyphema, and alkali burns. It also covers age-related conditions like cataracts that present as a white eye. Examinations should check visual acuity, pupillary response, intraocular pressure, and use fluorescein staining to examine the cornea and distinguish between infections like herpes simplex. Corticosteroids should not be used to treat herpetic keratitis.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    32 views2 pages

    Eye Notes From Lecture

    Uploaded by

    Teehee Jones
    This document provides an overview of ophthalmic terminology and how to examine the anterior and posterior segments of the eye. It discusses various causes of a red eye, including infectious conjunctivitis, iritis, corneal abrasions, hyphema, and alkali burns. It also covers age-related conditions like cataracts that present as a white eye. Examinations should check visual acuity, pupillary response, intraocular pressure, and use fluorescein staining to examine the cornea and distinguish between infections like herpes simplex. Corticosteroids should not be used to treat herpetic keratitis.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 2

     Terminology

    o Oculus dexter  RE
    o Oculus sinister  LE
    o OU (both eyes)
     Visual acuity, pupillary exam, IOP (always check!)
     Anterior segment exam uses the fluorescein stain (uses slit lamp to examine
    the anterior segment) (stains devitalized cell)  distuinguishes between
    herpes simplex and VSV (herpes simplex has terminal bulbs) (pseudodendrite
     herpes zoster virus)
    o When herpes comes back it can infect the deeper portions of the eye
    o DO NOT TREAT WITH CORTICOSTEROIDS (keratitis)

     THE RED EYE


    o 2 day history of pink eye
     adnexal disease (supporting structures around the eye)
     When herpes attacks the cornea  keratitis
    o Acute angle closure glaucoma
     Opthalmologic emergency
     The normal flow through trabecular meshwork and Schlemm’s
    canal gets blocked from the pushing of the lens and blocks the
    normal flow
     Treatment is to get the pressure down (dimox, mannitol)
     Anterior chamber is the problem here
    o Collections of WBC in the eye
     Iritis/iridocyclitis
     Also look for flair (protein in the light beam can be seen)
    o Infectious conjunctivitis
     Usually viral form adenovirus following an URI or cold, very
    contagious
     1. Enlarged follicles in lower aspect of eyelid (lymphoid
    hyperplasia)
     2. Preauricular lymphadenopathy
     Bacterial  purulent/mucopurulent
     Chlamydia is very high
     Erthyromycin
     Neisseria also present
     Possible visual sequelae is corneal scarring
    o Subconjunctival hemorrhage
     “tiny bruise” on eye  usually very benign
    o Corneal abrasion
     5 layers on the cornea  epithelium can be disrupted
    o Hyphema
     Blood in the anterior chamber (traumatic injury)
     Treat similar to iritis (topical corticosteroids, cyclopegic)
     Should have sickle cell on your differential with this condition
     Reason is that dimox can put them into a sickle cell crisis
    and metabolic acidosis
    o Alkali burn
     Treatment starts immediately with irrigation  very poor
    prognosis compared to acid burn
     Flush with lactated ringer’s
     Alkali can penetrate very deep
     When you start to see white around instead of red blood vessels
    it’s a very poor prognosis
     80 yo male with white eye
    o Cataracts
     Patients become more nearsighted as they loose elasticity of the
    lens
     Kids remove right away to remove amblyopia
     One eye is deprived at a young age, the nerves can atrophy
    (reversible but only if treated quickly) (competition b/w
    eyes)
    o Baby
     white pupil  retinoblastoma

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