NURS 5433 Module 1
Blepharitis
nonulcerative form related w/ seborrhea
- generally visible in those w/ trisomy 21
- has a tendency to affect people w/ psoriasis, seborrhea, eczema, hypersensitive reactions,
and lice infestations
- contributing factors: chemical or environmental irritants, use of eye makeup and get in
touch with lenses
ulcerative form
- entails lash follicle and meibomian glands of eyelid
- can be pustules at base of hair follicles which could crust or bleed
- lashes become thick and destroy without difficulty
Blepharitis RF
- dry eye
- frequent hordeola or chalazia
- facial or scalp seborrhea
- immunocompromised nation
- pimples
- DM
- isotretinoin
Blepharitis evaluation finding
ulcerative
- itching, tearing, chalazia, recurrent styes, photophobia, small ulcerative at eyelid margin,
broken or absence of eyelashes
seborrheic
- persistent irritation of eyelid, erythema, greasy scaling of anterior eyelid, lack of eyelashes,
seborrheic dermatitis of eyebrows and scalp
Blepharitis Management (pharm/nonpharm)
- heat moist compresses
- lid scrubs w/ baby shampoo
- lid rubdown to empty meibomian glands
- get rid of touch lids and disinfect
pharm control
- bacitracin, erythromycin, quinolone ointments
,- keep in mind oral atbx for resistant infections
- doxycyline a hundred mg po BID
- tetracycline 250 mg po QID
Hordeolum (stye)
erythematous, gentle lump inside eyelid
- external hordeolum: inflammation/infection of eyelid margin affecting hair follicles of
eyelashes
- inner hordeolum: infection/infection of meibomian glands
Chalazion
- granulomatous contamination of a meibomian gland
- painless swelling on eyelid
- may be gentle and erythematous before evolving into a nontender lump
- blepharitis is often associated w/ chalazia
Chalazion Treatment
- warm moist compresses
- intralesional steroid injection
- lid massage
- lid scrubs
Conjunctivitis (pink eye)
inflammation of conjunctiva protecting the the front of eye
common reasons
- bacterial, viral, or fungal
- sexual transmission and ophthalmia neonatorum
- HSV 1
- trachoma
- toxicity (from an inciting agent of a few kind)
- allergy
- viral
- adenoviruses, Coxsackie virus, varicella, HSV, herpes zoster virus
Conjunctivitis assessment
ALLERGIC: Pruritus; conjunctival hyperemia, chemosis; a watery or stringy discharge
BACTERIAL: Photophobia w/ blepharospasm; mucopurulent discharge w/ eyelash
mattering; edema; hyperemia; preauricular adenopathy simplest w/ hyperacute ailment
VIRAL: Acute onset regularly A/W systemic illness; photophobia or overseas body
sensation; preauricular adenopathy; hyperemia; chemosis; watery discharge; classic
,dendritic corneal lesion present w/ herpes simplex; periocular lesions gift w/ herpes zoster
opthalmicus
Conjunctivitis diagnostics
- snellen
- visual acuity
- dilated student exam for proptosis, optic nerve disorder, reduced visible acuity, diplopia, or
anterior chamber inflammation
- fluorescein staining to rule out corneal involvement or keratitis
- blue penlight illumination to see corneal scratches, corneal dendrites, or corneal ulcerations
Conjunctivitis crimson flags
- dwindled visible acuity, photophobia, extreme foreign frame sensation preventing pt from
preserving eye open, corneal opacity, fixed scholar, intense headache w/ nausea
- check with ophthamologist
conjunctivitis control
allergic
- subject matter decongestant antihistamine combos (OTC)
- naphazoline hydrochloride 0.0.5% (Naphcon- A)
- naphazoline-antazoline 0.3% (vasocon-A)
- levocabastine hydrochloride 0.05% (Livostin)
- emedastine 0.05% (emadine)
- mast cellular stabilizers
- olopatadine 0.1% (patalol)
- azelastine 0.05% (Optivar)
Bacterial
- sulfacetaminde 10% (Bleph-10, Isopto CEtamide, or Sodium Sulamyd)
- Tobramycin
- Ciprofloxacin 0.3%
- ofloxacin 0.Three%
- moxifloxacin zero.Five% more intense instances
- gatifloxacin zero.3% extra extreme cases
-chlamydial and gonococcal
- topical and systemic
- systemic
- penicillin and doxycycline
- ocular
- have to be managed by means of ophthalmology
- gentamicin 3mg/ml
- ofloxacin 0.Three%
- norfloxacin
- tetracycline ophthalmic ointment
, - non pharm management
- hand hygiene
- use easy wash fabric every time
- alternate pillowcase day by day
- heat compresses
- cool compresses for allergy
- do not wear touch lenses
- discard eye makeup
Cellulitis
- orbital or periorbital
as a result of
- staph aureus
- institution a strep
- strep pneumonia
- H influenza
- fungus
Cellulitis control
cephalosporin
- vancomycin + ceftriaxone or cefotaxime
- ampicillin- clavulanic acid
- FU in 12-24 hrs
hordeolum differentials
blepharitis
Sebaceous carcinoma
Basal mobile carcinoma
Squamous mobile carcinoma
Dry eye syndrome
Conjunctivitis,
Pingueculum
Degenerative lesions of the conjunctiva due to epithelial hyperplasiaelevated yellowish
growth inside the nasal issue of the palpebral conjunctiva
Pterygium
on and rancid once more irritation, dry eye, itchy...Pain while infected.The eye has a "the
more you realize" stardust patternwith, a Vascularized lesion that extends from the
conjunctiva of the nasal palpebral fissure onto the nasal cornea
Pingueculum and Pterygium management
Blepharitis
nonulcerative form related w/ seborrhea
- generally visible in those w/ trisomy 21
- has a tendency to affect people w/ psoriasis, seborrhea, eczema, hypersensitive reactions,
and lice infestations
- contributing factors: chemical or environmental irritants, use of eye makeup and get in
touch with lenses
ulcerative form
- entails lash follicle and meibomian glands of eyelid
- can be pustules at base of hair follicles which could crust or bleed
- lashes become thick and destroy without difficulty
Blepharitis RF
- dry eye
- frequent hordeola or chalazia
- facial or scalp seborrhea
- immunocompromised nation
- pimples
- DM
- isotretinoin
Blepharitis evaluation finding
ulcerative
- itching, tearing, chalazia, recurrent styes, photophobia, small ulcerative at eyelid margin,
broken or absence of eyelashes
seborrheic
- persistent irritation of eyelid, erythema, greasy scaling of anterior eyelid, lack of eyelashes,
seborrheic dermatitis of eyebrows and scalp
Blepharitis Management (pharm/nonpharm)
- heat moist compresses
- lid scrubs w/ baby shampoo
- lid rubdown to empty meibomian glands
- get rid of touch lids and disinfect
pharm control
- bacitracin, erythromycin, quinolone ointments
,- keep in mind oral atbx for resistant infections
- doxycyline a hundred mg po BID
- tetracycline 250 mg po QID
Hordeolum (stye)
erythematous, gentle lump inside eyelid
- external hordeolum: inflammation/infection of eyelid margin affecting hair follicles of
eyelashes
- inner hordeolum: infection/infection of meibomian glands
Chalazion
- granulomatous contamination of a meibomian gland
- painless swelling on eyelid
- may be gentle and erythematous before evolving into a nontender lump
- blepharitis is often associated w/ chalazia
Chalazion Treatment
- warm moist compresses
- intralesional steroid injection
- lid massage
- lid scrubs
Conjunctivitis (pink eye)
inflammation of conjunctiva protecting the the front of eye
common reasons
- bacterial, viral, or fungal
- sexual transmission and ophthalmia neonatorum
- HSV 1
- trachoma
- toxicity (from an inciting agent of a few kind)
- allergy
- viral
- adenoviruses, Coxsackie virus, varicella, HSV, herpes zoster virus
Conjunctivitis assessment
ALLERGIC: Pruritus; conjunctival hyperemia, chemosis; a watery or stringy discharge
BACTERIAL: Photophobia w/ blepharospasm; mucopurulent discharge w/ eyelash
mattering; edema; hyperemia; preauricular adenopathy simplest w/ hyperacute ailment
VIRAL: Acute onset regularly A/W systemic illness; photophobia or overseas body
sensation; preauricular adenopathy; hyperemia; chemosis; watery discharge; classic
,dendritic corneal lesion present w/ herpes simplex; periocular lesions gift w/ herpes zoster
opthalmicus
Conjunctivitis diagnostics
- snellen
- visual acuity
- dilated student exam for proptosis, optic nerve disorder, reduced visible acuity, diplopia, or
anterior chamber inflammation
- fluorescein staining to rule out corneal involvement or keratitis
- blue penlight illumination to see corneal scratches, corneal dendrites, or corneal ulcerations
Conjunctivitis crimson flags
- dwindled visible acuity, photophobia, extreme foreign frame sensation preventing pt from
preserving eye open, corneal opacity, fixed scholar, intense headache w/ nausea
- check with ophthamologist
conjunctivitis control
allergic
- subject matter decongestant antihistamine combos (OTC)
- naphazoline hydrochloride 0.0.5% (Naphcon- A)
- naphazoline-antazoline 0.3% (vasocon-A)
- levocabastine hydrochloride 0.05% (Livostin)
- emedastine 0.05% (emadine)
- mast cellular stabilizers
- olopatadine 0.1% (patalol)
- azelastine 0.05% (Optivar)
Bacterial
- sulfacetaminde 10% (Bleph-10, Isopto CEtamide, or Sodium Sulamyd)
- Tobramycin
- Ciprofloxacin 0.3%
- ofloxacin 0.Three%
- moxifloxacin zero.Five% more intense instances
- gatifloxacin zero.3% extra extreme cases
-chlamydial and gonococcal
- topical and systemic
- systemic
- penicillin and doxycycline
- ocular
- have to be managed by means of ophthalmology
- gentamicin 3mg/ml
- ofloxacin 0.Three%
- norfloxacin
- tetracycline ophthalmic ointment
, - non pharm management
- hand hygiene
- use easy wash fabric every time
- alternate pillowcase day by day
- heat compresses
- cool compresses for allergy
- do not wear touch lenses
- discard eye makeup
Cellulitis
- orbital or periorbital
as a result of
- staph aureus
- institution a strep
- strep pneumonia
- H influenza
- fungus
Cellulitis control
cephalosporin
- vancomycin + ceftriaxone or cefotaxime
- ampicillin- clavulanic acid
- FU in 12-24 hrs
hordeolum differentials
blepharitis
Sebaceous carcinoma
Basal mobile carcinoma
Squamous mobile carcinoma
Dry eye syndrome
Conjunctivitis,
Pingueculum
Degenerative lesions of the conjunctiva due to epithelial hyperplasiaelevated yellowish
growth inside the nasal issue of the palpebral conjunctiva
Pterygium
on and rancid once more irritation, dry eye, itchy...Pain while infected.The eye has a "the
more you realize" stardust patternwith, a Vascularized lesion that extends from the
conjunctiva of the nasal palpebral fissure onto the nasal cornea
Pingueculum and Pterygium management
