Thanks to Zach, one of the Stanford ophthalmology residents, for teaching us about the eye today at morning report! Here are some of the highlights:
- Eye Pain: Usually related to pathology with the ANTERIOR segment of the eye. If pain resolves with topical anesthetic, think about dry eyes/external irritant.
- Photophobia: Usually caused by ciliary body spasm
- Inflammation from outside to inside:
- Blepharitis: Eyelid inflammation
- Conjunctivitis: Bacterial/viral/allergic
- Scleritis/Episcleritis: Can be associated with collagen vascular disease (RA common)
- Keratitis: Corneal inflammation, HSV classic cause
- Iritis: Inflammation of the Iris
- Uvea = Ciliary body + Choroid + Iris
- Anterior Uveitis
- Posterior Uveitis
- Retinitis: Pt’s may report flashing lights
- Retinal Detachment is classically described as a curtain over the eyes
- Cherry red spot is seen in central retinal artery occlusion