PHRM 111 Lecture Notes - Lecture 14: Pupillary Response, Tetryzoline, Artificial Tears
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Symptoms: puffy eyes, hemorrhage, clear, watery, irritated, diffusely red eyes. Replace chronic ophthalmic medications (in case of contamination) Highly contagious (like if someone has a cold): Avoid contact with others for at least 10 days (up to 14 days) Wash hands frequently with soap and water; avoid hand-to-eye contact. Artificial tears may be soothing (preservatives may be irritating) Topical corticosteroids: nay (only by ophthalmologist in severe cases) For relief of conjunctival redness , eyelid edema only if needed. Overuse may cause rebound predisposed individuals hyperemia. Less common: s. epidermidis, s. pneumoniae, h. influenzae. More virulent pathogens due to altered immunity. Pathogen: s. pneumoniae, h. influenzae, m. catarrhalis, staph aureus. Predictive features : bilateral mattering and adherence of the eyelids (glued shut, no pruritus ( no itching, no prior history of conjunctivitis. Clean purulent discharge w/ gauze compresses or lid cleanser prior to instilling eye preps (saline, commercial eye wash products) Recall: spontaneous improvement in 1-2 weeks (in most cases)