Red Eye Quiz

The following statements are TRUE regarding red eye in ophthalmology

• Episcleritis is usually associated with pain and reduced vision

• Uveitis is usually run in the family

• All contact lens related patients who presented with red eye must be referred to ophthalmologist urgently

• Patient with keratitis should be treated with topical steroid regardless the etiology

The danger signs of red eye include

• Sudden onset of vision loss

• Purulent discharge

• Recent ocular trauma

• Spectacles-related cases

1.        A 20-year-old lady, a chronic contact lens wearer, presented with tearing and painful red eye for the past one week. Examination showed injected conjunctiva with corneal opacities. Select the most important investigation that you need to perform

• Eye swab

• Cornea scraping

• Schirmer test

• B scan

The following statements are TRUE regarding preseptal cellulitis

• Children are more commonly affected than adult

• Require admission and intravenous antibiotics

• CT scan of orbit is routinely done

• No RAPD

Below are the causes of orbital cellulitis EXCEPT

• Trauma

• Sinusitis

• Dental infection

• Subconjunctival haemorrhage

The following statements are TRUE regarding the picture

• It is known as conjunctival haemorrhage

• It is usually self-limiting

• Takes about few months to resolve

• If not resolved, surgical draining is an option

A young male presented with bilateral red eye for the past one week. It is associated with minimal pain and yellowish discharge. There is no history of ocular trauma or contact lens used. Select the best management for this patient

• topical steroid

• oral antibiotic

• topical antibiotic

• referral to ophthalmologist

The following statements are true regarding the above picture

• There is presence of hypopyon in the anterior chamber

• It usually occurs after ocular trauma

• It is commonly treated with topical antibiotic by primary care doctor

• CT scan of orbit is routinely done

 

Management of allergic conjunctivitis include

• Avoid allergen

• Refer for allergic test

• One of the medical therapies includes artificial tears with preservative

• If there is presence of corneal opacities, primary care doctors should initiate steroid therapy by his own

The picture shows a picture of blepharitis. The following statements are true regarding blepharitis

• If left untreated, it can lead to chalazion

• The conjunctiva is usually white in patient with blepharitis

• It is usually associated with marginal keratitis

• One of the managements include cold compression