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• Ophthalmology in Hampshire
• Anterior/Intermediate/Posterior Uveitis
Orbital Cellulitis
• Preseptal and orbital
• Refer Paediatrics
– Admit. Treat as for sepsis
• Ophthalmology
– Optic nerve involvement
– CT orbits (?abscess) then drain
• ENT
– Nasoendoscopy (?source?), Sinus washout
Orbital Septum
• Bacterial conjunctivitis
• Viral (Adenoviral) conjunctivitis
• Allergic conjunctivitis
Subconjunctival haemorrhage
• Reassure
• Discharge
Bacterial
conjunctivitis
• One eye
• occ. Chloramphenicol
qds 1/52
• Discharge
• If severe, suggest
– GP or eye clinic f/u
– Or contact eye clinic if
worsens
– Conjunctival/tear swabs
• Bacterial, viral,
chlamydial
Adenoviral
conjunctivitis
• Recent flu symptoms
• Follicles
• Cervical lymphadenopathy
• Lubricants
– g. Gel Tears BE qds prn
• If severe, eye clinic f/u in a few
days
• Trauma
• Corneal foreign bodies
– Rust rings
• Chemical injuries
Corneal
abrasions
• History of trauma
• occ. Chloramphenicol
qds 1/52
• Analgesia prn
• Discharge
• TCI/SOS
Arc Eye
• 6-12 hours post exposure
– bilateral
• Punctate epithelial defects
• Treatment
– occ. Chloramphenicol
qds
– +/- pressure patch to
worst eye for
24 hours
– Analgesia prn
– Discharge
Herpes Simplex
Keratitis
• HSV type 1 virus
• Corneal dendrite
• Rust Ring
– F/u in eye clinic in
2-3 days
FB removal
technique
Intraocular
foreign bodies
• History
– High speed metal
– Grinding
– Hammering
• Unexplained subconj
haemorrhage
• Orbital X-rays
– Eyes up/down if possible
• Refer to us
Chemical
injuries
• g. Benoxinate or
Amethocaine BE
• Check pH
• Repeat till
– pH equal in both eyes
– pH neutral (approx 7)
Chemical injuries
• pH original chemical if
possible
– Alkali is worse (pH > 8)
• Deeper penetration
• Speak to us
• If severe, speak to us
Mild chemical injury
• Treat as per corneal abrasion
• PO Vitamin C (if alkali/severe)
• Homonymous hemianopias
• Bitemporal hemianopia
3rd nerve palsy
• Pupil involved –surgical 3rd n palsy
– ?circle of willis aneursym
ian.yeung@cantab.net
Thank you
Basic Slit Lamp Skills
Demonstration