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Internal hordeolum Acute chalazion Staphylococcal infection of meibomian gland Tender nodule within the tarsal plate May be associated cellulitis Tx 1. External hordeolum Stye Stye Staphylococcal abscess of lash follicle and its associated gland of Zeiss or Moll Staphylococcal abscess of lash follicle and its associated gland of Zeiss or Moll Tender nodule in the lid margin pointing through the skin Tender nodule in the lid margin pointing through the skin Tx Tx 1. Bacterial Conjunctivitis Common causes Common causes Staph aureus Staph aureus Staph epidermidis Staph epidermidis Strep pneumoniae Strep pneumoniae Haemophilus influenzae Haemophilus influenzae Direct contact with infected secretions Direct contact with infected secretions Symptoms Symptoms 1. Papillae vs follicles Papillae Papillae Vascular reaction consisting of fibrovascular mounds with central vascular tuft.


Allergic Conjunctivitis Investigation Investigation Exclude infection (generally viral is NOT itchy) Exclude infection (generally viral is NOT itchy) IgE levels ?
Pingueculum Yellow-white deposits on bulbar conjunctiva adjacent to the nasal or temporal limbus May become acutely inflamed- pingueculitis Tx 1. Pterygium Fibrovascular growth from the conjunctiva onto the cornea Fibrovascular growth from the conjunctiva onto the cornea Tx Tx 1. The Acute Red Eye Most common ocular complaint Most common ocular complaint Common- children and adults.


Can be large- cobblestone or giant papillae- allergic conjunctivitis Vascular reaction consisting of fibrovascular mounds with central vascular tuft. Excision of pterygium- covering of defect with a conjunctival autograft or amniotic membrane 2.



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