Conjunctivitis (Viral/Bacterial/Allergic) |
- Clinical diagnosis through history and examination
- Slit-lamp examination to assess the conjunctiva
- Conjunctival swab (for bacterial or viral culture, if necessary)
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- Viral: Supportive care, cold compresses, artificial tears
- Bacterial: Topical antibiotics (e.g., erythromycin, tobramycin)
- Allergic: Antihistamines, lubricating eye drops, allergen avoidance
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Corneal Abrasion |
- Fluorescein stain and slit-lamp examination to visualize the abrasion
- Check for foreign bodies under the eyelids
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- Antibiotic eye drops or ointment (e.g., erythromycin)
- Pain relief with NSAIDs or topical analgesics
- Avoid contact lens use until healed
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Dry Eye Syndrome |
- Schirmer’s test to measure tear production
- Slit-lamp examination to assess tear film
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- Artificial tears and lubricating eye drops
- Warm compresses and eyelid hygiene
- Severe cases: Punctal plugs or topical cyclosporine
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Glaucoma (Acute Angle Closure) |
- Tonometry to measure intraocular pressure
- Gonioscopy to assess the drainage angle
- Ophthalmoscopy to evaluate optic nerve damage
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- Emergency lowering of intraocular pressure (IV acetazolamide, topical beta-blockers)
- Laser iridotomy or surgical intervention to create drainage pathway
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Uveitis/Iritis |
- Slit-lamp examination to assess inflammation in the anterior chamber
- Measure intraocular pressure to rule out secondary glaucoma
- Blood tests or imaging if systemic cause suspected (e.g., HLA-B27 for ankylosing spondylitis)
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- Topical corticosteroids (e.g., prednisolone eye drops)
- Cycloplegics (e.g., atropine) to reduce pain from ciliary muscle spasm
- Treat underlying systemic condition if present
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Optic Neuritis |
- Ophthalmoscopy to assess optic nerve head
- Visual field testing to detect vision loss
- MRI of brain and orbits to detect inflammation or multiple sclerosis
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- High-dose corticosteroids (IV methylprednisolone)
- Treat underlying cause (e.g., multiple sclerosis)
- Follow-up for visual recovery
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Foreign Body in Eye |
- Slit-lamp examination and fluorescein staining
- Everting the eyelid to check for foreign particles
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- Remove the foreign body with irrigation or a sterile swab
- Topical antibiotic ointment to prevent infection
- Pain relief with NSAIDs or topical analgesics
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Sinusitis (Referred Eye Pain) |
- Physical exam to detect sinus tenderness
- CT scan of the sinuses if chronic or severe sinusitis suspected
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- Oral antibiotics for bacterial sinusitis
- Nasal decongestants and saline irrigation
- NSAIDs for pain relief
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Scleritis |
- Slit-lamp examination to assess scleral inflammation
- Blood tests for autoimmune diseases (e.g., rheumatoid arthritis)
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- Systemic NSAIDs or corticosteroids
- Treat underlying autoimmune condition
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