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Always Use Artificial Tear With Antibiotic Eye Drop Never Use Steroid Eye Drop If Patient Has Photophobia Clean Eyes Before Using Eye Drop

The document provides guidelines for the treatment and management of various eye conditions, including conjunctivitis, dry eye, and chalazion, emphasizing the importance of using artificial tears with antibiotic drops and avoiding steroid drops in cases of photophobia. It outlines specific symptoms that warrant referral to an ophthalmologist and details recommended medications and dosages for different eye issues. Additionally, it includes advice on eye care practices and the importance of cleaning eyes before medication application.

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14 views13 pages

Always Use Artificial Tear With Antibiotic Eye Drop Never Use Steroid Eye Drop If Patient Has Photophobia Clean Eyes Before Using Eye Drop

The document provides guidelines for the treatment and management of various eye conditions, including conjunctivitis, dry eye, and chalazion, emphasizing the importance of using artificial tears with antibiotic drops and avoiding steroid drops in cases of photophobia. It outlines specific symptoms that warrant referral to an ophthalmologist and details recommended medications and dosages for different eye issues. Additionally, it includes advice on eye care practices and the importance of cleaning eyes before medication application.

Uploaded by

fowjiafariya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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***** Always use artificial tear with antibiotic eye drop

*****Never use steroid eye drop if patient has photophobia

*****clean eyes before using eye drop

Indication of referral*

• Sudden loss of vision


• Blunt trauma
• Perforating eye
• Retinal detachment
• Corneal abrasion
• Glaucoma
• Sudden onset of diplopia
Characteristics of eye pain

• Associated with movement of eye e.g. optic neuritis


• Referred pain due to raised intracranial pressure, Trigeminal neuralgia, refractive error

Tension type headache, giant cell arteritis

• Photophobia
• Meningitis
• Migraine
• Conjunctivitis

Dry eye

• Associated with blepharitis


• May cause blurring of vision and discomfort

Rx--

• Hyprosol eye drop/ Tearfresh lequigel --2drops hourly


-hypromellose 0.3% has shorter duration of action, requires frequent dosing.

• If it Doesn’t work try long-acting preparation / combined--


Visitear eyedrop--2drops TDS
ACUTE CONJUNCTIVITIS

c/c
1. Redness of eye
2. Discharge: usually purulent, on awaking lids adhere together.
3. Discomfort, photophobia, burning,
4. Swollen eyelids

RX
• Tobracin (Tobramycin) eye drop
Apply qds on the affected eye----10days
• Tobracin (Tobramycin) eye oinment
Apply on the affected eye at night--- 15days

• Tab. Atrizin (Cetirizine hydrochloride) (10mg)

0+0+১---১০দিন

In case of viral conjuctivitis--

• Clovir eye ointment (acyclovir)

Apply qds over affected eye—14-21days.

Advice:
• Clean the eyes before application of medicine.
• Use glasses at daytime.

ALLERGIC CONJUNCTIVITIS
CC:
1. Redness
2. Intense
itching
3. Discharge: Usually watery
4. Discomfort, photophobia, burning.
5. Seasonal and annual variation
Rx

• Fluromet (Fluromethalone) 0.1% eye drop


Apply qds on the affected eye---10days

• Patadine (Olopatadine) 0.1% eye oinment


Apply bd on the affected eye—3days.
• Tab. F e xo 1 2 0 mg
0+0+1......10days.

In resistant cases:
• Cyclorin (Cyclosporin) 0.05% eye drop
Apply tds on the affected eye---10days.
Chalazion

c/c

1. Localized swelling on the eyelid

2. Non-tender

3. Firm in consistency

RX

• warm compression
• self limiting
• spontaneously resolves

Plan:

Refer to ophthalmologist

Incision and curettage

INFECTED CHALAZION

C/C:

1. Pain and swelling of eyelid

2. Tender

RX
• Cap. Flux 500mg

1+1+1+1---7days
• hot compression

• Tab. Xpa XR (PCM) 665mg


1+1+1......5days

• Tobracin (Tobramycin) eye drop


Apply qds—10days

• Tobracin (Tobramycin) eye ointment


Apply at night----15days

Plan:

Incision and curettage (If nodule persists)


watery eye

RX

1. Ciprofloxacin eye drop {Beuflox eye drop)...7 days

2 drops in each eye 12 hourly

2. Tab.Fexofenadin 120 mg...5 days---1+0+1

3. Glycerol 0.2% + Hypromellose 0.36% +glycol 400 (1%) {Visitear)... 1 month---2 drops 2 to 4 times daily

Acute Dacrocystitis:

• Cap. Fluclox (500mg)


1+1+1+1....7days
• Tab. Paracetamol 500mg
1+1+1(after meal)

• Application of hot compression


In case of chronic dacryocystitis-

• Tab. Quinox 500mg

1+0+1....7days

• Cloram eye drop

Apply qds on affected eye....14days

• Afrin nasal drop

Apply 3-4drops tds....7days

Must consult with ophthalmologist.

Stye/ External hordeolum--

• Painful swelling near eye lash


• Bacterial infection

O/E

Tenderness++

Rx

1. Cap. Flucoxacillin {Cap. Fluclox 500)....7 days---1+1+1+1

2. Tab. Paracetamol 500mg---1+1+1(after meal)


3.Beuflox eye drop 2drops 12hourly

4.tearfresh liquigel--2drops Sos

5. eplilation may hasten

resolution

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