PARTS

[Pages:6]PARTS

I 2 3

BULBAR PAL DEBRA

FORNICEAL

CONJUNCTIVA CONJUNCTIVA

CONJUNCTIVA

covers

the

Sclera

but

not

the

Cornea

covers

the

upper

G

Lower

eyelids

Junction

OF

bulbar

q

palpebral

conjunctiva

contains

CELLS

GOBLET secrets

mucus

mucin

stabilizes

Max .

no .

present

the

tear

film

at

Tnfero - nasal

conyuctiva

deficiency

leads

to

Dry eye

conjunctival

xerosis

WHO

CLASSIFICATION

OF

VITAMIN

A

DEFICIENCY

(

XEROPHTHALMIA

]

Bitot 's Spot

corneal

xerosis

Keratomalacia

43133

upto

xz C corneal

xerosis

] ,

we

can

reverse

it

vitamin

A

VITAMIN

A

SUPPLEMENTATION

TREATMENT

2,

00,000

IU

For

children

at

O

I

,

,

14

days

intervals

above

I year

co day of

presentation ]

14 th day

dose

is

For

liver

supplementation

CONJUNCTIVAL

REACTIONS

I

FOLLICLES

collections

of

seen

in

Lymphocytes

viral

infections

Charny deal

Toxic

conditions

infections [ BRO

C trachoma ]

MONI

DINE

THERAPY ]

2

PAPILLAE

elevation

of

conjunctiva

I

central

vascular

core

seen

in

Allergic

conditions

C Vernal

catarrh ]

FB

reaction

corneal

scarring

xerophthalmia

Fundus

Follicles PAPILLAE

CONJUNCTIVITIS

inflammation

of

conjunctiva

CLINICAL

FEATURES

Bright

red

eye

no

pain

Discharge

'

purulent

discharge

2

serous

discharge

3

Mucoid

discharge

Bacterial

etiology

viral

etiology

Allergic etiology

EPIDEMIC

KERATO

CONJUNCTIVITIS

caused

by

Adenovirus

highly

infectious

aka

I

PINK

EYE

2

MADRAS

EYE

3

SHIPYARD

EYE

8,9 , 37

ACUTE

HEMORRHAGIC

CONJUNCTIVITIS

caused

by

Pharma

Enterovirus

virus

70

C

more

Coxsackie

virus

[ AHC ]

common

]

highly

infectious

Enterovirus

aka

APOLLO

VIRUS

XI

discovered

on

1969

disease

caused

is

APOLLO

DISEASE

PINK

EYE

AHC

OPHTHALMIA

occurs

tears tears

NEONATORUM

in

neonates

do

not

form

C first till

28 Days ]

1st

28 days

in

1st

month

OF

birth

infectious

RED

EYE

IN

Ist

day

2nd

-

3rd

day

>

I

week

chemical

conjunctivitis

Gonococcal

conjunctivitis

[ most

dangerous ]

Chlamydia E me

cause ]

only

conjunctivitis

that

causes

blindness

can

perforate

cornea

a

causes

blindness

CREED 's

METHOD

Gonococcal

conjunctivitis

instilling

Ito

AGNO ,

as

soon

as

child

birth

chemo

prophylactic

against

gonococcus

but

it is

toxic

causes

chemical

conjunctivitis

DOC

For

Prophylaxis

AZITHROMYCIN

KERATO

CONJUNCTIVITIS

TRACHOMA

/

EGYPSIAN

OPHTHALMIA

caused

by

chlamydia

trachomatis

-

CHLAMYDIA

TRACHOMA

TIS

Ag Bgc

D to

K

causes

Trachoma

causes

Inclusion

Lz L2 1-

,,

a

Causes

Lympho

As Bgc

conjunctivitis Granuloma

hlenereum

[ LGV ]

commonest

infective

cause

OF

blindness

C 104%3

Geographical

distribution

North

South Middle

Africa Asia

East

Egypt , Libia g

Tunisia

g

Algeria ,

Ethiopia , Somalia

India ,

Pakistan

,

Bangladesh

Sri

,

lanka

Arab

countries

Regions

North

i high

India

distribution

punjab

Haryana

uttar

pradesh

uttaranchal

Rajasthan Gujarat

in

India

C Endemic

Trachoma ]

CLINICAL

FEATURES

Lacrimation

photophobia

red

eyes

Hall

mark

SAGO

GRAIN

FOLLICLES

HERBET

PITS

Seen

ARLT 'S

LINE

On

upper

palpebral

conjunctiva

seen

ARLT 'S

TRIANGLE

Seen

in

Anterior

uveitis

PANNUS

seen

C non

specific

sign ]

Sago grain

Follicles

Herbert

pits

SAFE

STRATEGY

by WHO

s

A

surgery

For

Antibiotics

trichiasis

oral

AZITHROMYCIN

E DOC ]

Topical

TETRACYCLINE

,

ERYTHROMYCIN

F

E

Facial

Hygiene

Environmental

Sanitation

Arlt 'S

line

Pannus

BLANKET

/ MASS

THERAPY

by

WHO

For

Endemic

areas

intermittent

therapy

1% Tetracycline

1%

TETRACYCLINE

ointment ointment

OD x 10 days

BD X 5 days

continuously

Iim

X 6 Months

continuously

/I

month

X6

months

2nd me

affected

MC

affected

children

women

OTHER

FEATURES TRICHIASIS

posterior

misdofirecteyelashes

TYLOSIS MADAROSIS ENTROPION

CORNEAL

OPACITIES

Thickening

of

LOSS

OF

eye

inward

turning

eyelid

lashes

of eye

margin lid margin

NEBULA

MACULA

most

superficial

C Max .

discomfort

]

half

thickness

LEUCOMA

Full

thickness

[ Max

loss

of

.

Vision ]

WHO I I II II I

GRADING

FISTO

CLASSIFICATION

F

75

in

upper

palpebral

Follicles I

Intense

inflammation

C max

s

scaring I healing

started ]

T

trichiasis

o

corneal

Opacities

conjunctiva

infectivity ]

TYLOSIS ENTROPION

Nebula

GRADE I

GRADE

II

GRADE

II

GRADE

II

GRADE

I

VISION

2020

AIM

2020

by

2020

By

eliminating

I

Cataract

2

Trachoma

3

childhood

blindness

4

Refractive

error

5

Onchocerciasis

2OFeet

20

Feet

Gmetres

=

6

metres

by

2020

by

surgery

by

SAFE

Strategy

by

vitamin

A

Supplementation

by

spectacle

correction

not

a

problem

in

ondia

In

India

,

we

?

GLAUCOMA

T

DIABETIC

consider

instead

of

RETINOPATHY

Onchocerciasis

CSR

cataract

surgical

Rate

no .

of

cataract

surgeries

performed

per

million

/ year

GET

2020

Global

Eradication

OF

Trachoma

by

2020

SPRING

CATARRH

I

Misnomer

occurs

in

VERNAL

CATARRH

Occurs

in

children

I

VERNAL

Summer

,

KERATO

CONJUNCTIVITIS

not

in

spring

L from

Allergic

conjunctivitis

severe

itching

present

COBBLE

STONE

PAPILLAE

Seen

Hallmark

Ropy

discharge

HORNER

TRANTAS

present

SPOTS

Seen

SHIELD

ULCER

Seen

MAXINE

L

-

LYON 'S

SIGN

Seen

on

eversion

of

eyelid , pseudo -

membrane

formed

by

atmospheric

heat

Shield

ulcer

( VKC ]

April to

October ]

cobblestone

papillae

Horner

tantra 's spots

TREATMENT

DOC

SODIUM

OLOPATA

DINE

CROMOGLYCOLATE

[ Mast

cell

Stabilizer

]

 ................
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