Eye Disorders- Abby Hyatt (numerous eye disorders followed by specialist discussed in the textbook)
Bulbar or palpebral conjunctival injection is a common presentation, which can be unilateral or bilateral.
different
...
Eye Disorders- Abby Hyatt (numerous eye disorders followed by specialist discussed in the textbook)
Bulbar or palpebral conjunctival injection is a common presentation, which can be unilateral or bilateral.
differential diagnosis should include allergy, conjunctivitis, infection, foreign body, chemical exposure, or systemic inflammatory disease, irritation of the conjunctiva or cornea, and congenital glaucoma.
Watery discharge can occur with allergies, nasolacrimal obstruction, foreign bodies, viral infection, and iritis.
Purulent or mucoid discharge can be noted with chronic dacrocystitis or nasolacrimal obstruction.
Advanced allergic conjunctivitis can have some mucoid production.
To differentiate, microscopic investigation of discharge may lead to other clues.
Photophobia is a symptom common of trauma and in infants with glaucoma or retinal disease. Other non-eye related causes of photophobia include migraines and meningitis.
A white pupil, or leukocoria serious finding and demands immediate referral to the pediatric ophthalmologist.
Causes of leukocoria include retinal detachment, cataract, retinal dysplasia, retinopathy of prematurity, and in newborns retinoblastoma.
All newborns should have a fundoscopic examination within 24 hours of birth and yearly on physical examinations.
Common eye traumas that may present to primary care are as follows: Scratch or laceration to the cornea
Blunt trauma to the orbit; note that an orbital fracture can cause muscle entrapment, compartment syndrome
Hyphema
Chemical or heat-related burns
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