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Pathophysiology
Lowest slide is an interpalpebral redness. Ciliary injections are much more deeper
and are more serious and must be looked out for first. Ciliary around the limbus,
conjunctival diffuse
Pathophysiology
Lower picture: Cornea has some sort of a crown around it, while the rest of the
conjunctiva looks fairly white
Clinical History
most important part is changes in vision
Conjunctival Inflammatory Reactions
Two basic types of conjunctival inflammatory reactions
Follicular Conjunctivitis
Sago like structures (smooth, rounded, nodules) are actually lymphoid
germinal centers
Anything that would incite inflammatory reactions would create
follicles
Adenoviral conjunctivitis is also known as sore eyes in laymans
terms
Papillary Conjunctivitis
Vascular (compared to follicular which is lymphoid)
Others?
Adenoviral Conjunctivitis
Most common cause of conjunctivitis in the Philippines
Epidemic Keratoconjunctivitis (EKC)
Sequelae of adenoviral conjunctivitis
Produces punctate lesions that hamper vision
Membranous Conjunctivitis
Gonococcal Keratoconjunctivitis
A hyper-acute type of conjunctivitis caused by N. gonorrhea
which is one of the few bacteria that can penetrate intact
epithelium
An urgent case, but treatment is very successful
Chlamydial Keratoconjunctivitis
Basically an abscess
Leading cause of blindness that covers the pupil and creates an
opaque scar to cause vision problems
Episcleritis
Slightly red, slightly tender, redness of the eyes
A general term for something that is happening the scleral
tissue
Subconjunctival Hemorrhage
Painless, no history of trauma
Most benign of the conditions we are discussing
Patients typically have a history of valsalva (i.e. constipation),
etc etc (di lang Valsalva)
Glaucoma
Acute Angle Closure Glaucoma severe pain, severe redness, severe
decrease of vision, with possible nausea and vomiting. Eyes will be stone hard.
Uveitis
Acute Anterior Uveitis less common cause of red eye. Pain is very mild and
is more like a heaviness. Vision may or may not be affected at all. Patient complains
of photophobia because the ciliary bodies are cramped. Cells and protein buildup
seen on anterior chamber upon slit-lamp examination. Keratic precipitates are cells
with pigments attached to them and become stuck in anterior chamber
ALGORITHM
First thing to ask is pain
YES? r/o that shit in the slide
NO? luh sige na nga madali lang naman pala yung algorithm