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afya
Ophthalmology
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> Uveitis - can effect whole uveal body (Panuveitis) but most commonly anterior (Iritis) think HLA B12 (often RA) but also RhF -ve - esp ank spond Main Sx Photophobia (red painful eye) If red painful eye is sticky / gritty ?discharge then chloarmphenicol If with pre-auricular LN - think adenovirus If red photophobic - think Uveitis or Herpes Simplex - dilate (relieves pain) and to eye clinic To look at anterior of eye - use ophthalmoscope at 10+ Note long sighted glasses - magnify image when normal looks through while short sited minify image To dilate eye - use tropicamide and/or phenylephrine (only 1 needed in younger person) If referred with cataract - think if surgery will alter daily life (drive ? work ?) ie consider function Herpes Simplex stain with orange and look with blue light green dendritic ulcer Don't use steroids but do give topical acyclovir (5x/day) LA eyedrops - stops epithelium healing so avoid Optic Neuritis Pain, white eye Check visual fields, acuity, red desaturation, relative afferent pupillary defect think MS episode lasts about 6/52 Flash - vitreous detachment "like line, light on and off", uniocular Normal ageing process but be careful as may have associated retinal detachment Ophthalmic Herpes Zoster - rash on tip of nose
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