Specific Symptoms • Central vision………….A macula B cornea • Knife like pain…………A iritis b neuralgia • Jaw pain/headache … •A Giant Cell arteritis B corneal ulcer • Numbness/pins & needles •A CMV virus B Herpes Zoster • Recurrent, patterns of lights… A conjunctivitis B migraine • Dull vision/loss of red vision… A cornea B optic nerve
Specific Symptoms. Central vision………….A macula B cornea Knife like pain…………A iritis b neuralgia Jaw pain/headache … A Giant Cell arteritis B corneal ulcer Numbness/pins & needles A CMV virus B Herpes Zoster - PowerPoint PPT Presentation
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Specific Symptoms
• Central vision………….A macula B cornea
• Knife like pain…………A iritis b neuralgia
• Jaw pain/headache …
• A Giant Cell arteritis B corneal ulcer
• Numbness/pins & needles
• A CMV virus B Herpes Zoster
• Recurrent, patterns of lights…A conjunctivitis B migraine
• Dull vision/loss of red vision…A cornea B optic nerve
Specific Symptoms
• Central vision………….A macula B cornea
Specific Symptoms
• Knife like pain…………A iritis b neuralgia
Specific Symptoms
• Jaw pain/headache …
• A Giant Cell arteritis B corneal ulcer
Specific Symptoms
• Numbness/pins & needles
• A CMV virus B Herpes Zoster
Specific Symptoms
• Recurrent, patterns of lights…A conjunctivitis B migraine
Specific Symptoms
• Dull vision/loss of red vision…A cornea B optic nerve
Specific Symptoms
• Central vision………….macula
• Knife like pain…………neuralgia, shingles
• Jaw pain/headache ……giant cell arteritis
• Numbness/pins & needles……shingles
• Recurrent, patterns of lights…..migraine
• Dull vision/loss of red vision…optic nerve
Eye general health: case 1, age 20y
• history– Vomiting– Nausea– Stomach not tender– Headache?
healthy
Papilloedema
Refer to RMO/neurosurgeon
(swollen disc, sight GOOD)
• Loss of sight 2 days ago, one eye• Headaches 1 week• Shoulder pains months• Weight loss months• unwell months• Test needed:• ESR• Giant cell arteritis• (if eye OK, refer to RMO)• Systemic steroids
Eye general health: case 2, age 80y
Ischaemic optic neuropathy
(swollen disc AND loss of sight)
Eye general health: general
Zoster–IV antiviral if immunosuppressed
zoster
scleritis
episcleritis
Diabetic retinopathy
Eye & major trauma in pairs 1 minute
Draw an eye, illustrating the possible injuries
Draw an orbit, illustrating the possible injuries
Eye & major trauma
Eye & major trauma
Birmingham (UK generally) is increasingly violent. A careful check will exclude problems. Sometimes the eye is impossible to examine (as lids are shut). Refer/ask on-call eye SPR to assess.
Fist, glass bottle, car windscreen
Perforating injury
Blunt injury…hyphaema
hyphaema
Blowout fracture
Floor of orbit fracture; inferior rectus trapped/damaged, so eye cannot look upAnaesthesia over cheek: assault, cricket/squash ball
Eye & previous eye surgery
There are many possible problems after ocular surgery: refer, sometimes urgently