Periorbital Cellulitis Most Common from Bacterial Infection

30 Sep – External Eye

Periorbital Cellulitis – most common from bacterial infection Check vision and EOM (if EOM effected the has moved to the muscles) Tx – Antibiotic – IV & Oral

Chalazion – Hordeolum Hot compress

Malignancy Long history of non-healing ulceration or lesion

Blepharitis Scurf on eyelids with associated inflammation Itching, redness (3-6 months) Exam – “dandruff” on eyelashes Tx – Lid hygiene (warm cloth & baby shampoo)

Meibomian Gland Dysfunction Lipid tear film deficiency Risk factors – Rosacea Acutance therapy (White mark on the eye lid – on the glands) Tx – Lid Hygiene – warm compress

Rosacea

Bacteria infection Tx – Oral Tetracycline or Doxycycline Dry Eye Syndrome

Tear Film Aqueous Lipid - Symptoms - Dryness, irritation or dry eye sensation Meibomian gland dysfunction or tear deficiency

Tx- minimize topical medication Use artificial tears Topical Cyclosporine Meds can dry eye (BP meds, Psych, Decongestants & Antihistamine) Humidifier / Where glasses / avoid heating or AC

Conjunctivitis

Viral infection (most) – Bacterial (minimal) – Bacterial will have Purulent discharge / Viral will have clear discharge (can cause opacity in cornea)

Tx – Nothing / Bacterial can treat with Antibiotics Stay home 7-10 days (contagious) Giant Papillary Conjunctivitis

Immune response to contact lens

Tx – stop wearing contacts

Look under lids – Bumps

Corneal Ulcer

Pseudomonas

Infectious Keratitis Redness, pain, decrease vision, Common from Bacteria Herpes of the Cornea

- Anti Viral treatment

Corneal Abrasion Tx – Topical ointment (Antibiotic) (3-4 times a day for 3-4 days) Can patch if desired