INFECTION AND INFLAMMATORY EYE

DISEASES




Devi Handayani Putri
Ocular Surface Disorders
1. Meibomian Gland Dysfunction
Eyelash nits and eggs
Chalazion
Hordeolum Interna
Conjunctivitis

VIRUS
Adenoviral eye disease
- Simple follicular conjunctivitis
- Pharyngoconjunctival fever ( serotypes 3,7 )
- Epidemic keratokonjunctivitis
Signs & Symptoms
- Bilateral, subepithelial infiltrates
- Petechial conjunctival haemorrhages,pseudomembran
Management
- Supportive


Conjunctivitis Viral


























Herpes Zoster Ophthalmicus

Signs & symptoms
- pain and dysesthesia neuralgia
- eyelid vesicular eruptions
- keratitis epithelial dendritic-punctata

Management
- Antiviral
- Steroids topical

Complication
-Choroiditis, retinal vasculitis
-Retinal detachment

Herpes Simplex Eye Disease

Direct contact, asymptomatically
Primary ocular infections
- Blepharoconjunctivitis unilateral : eyelid vesicles,dendritic
epithelial keratitis


Recurrent ocular infection

Reactivation virus latently infected sensory ganglia
- Blepharoconjunctivitis
- Epithelial keratitis
- Stromal keratitis
- Iridocyclitis

Management
-Resolve spontaneously
-Antiviral systemic and topical
-Corticosteroids

Bacterial

Overgrowth and infiltration of bacteries
Direct Contact
Self limited severe and sight threatening

Signs & symptoms
Purulent discharge, eyelid edema, chemosis, conjunctival
hemorrhages

Management
Antibiotic

Bacterial
-Microsporidial
- Acanthamoeba
Giant Papillary Conjunctivitis













Bacterial Ulcer

Signs& symptoms
- Pain, hyperemic, photophobia
- Decrease vision

Predisposition F/
- Corticosteroid use
- Contact Lens Wear

Management
- Antibiotic
- Steroid ?
- Cyclopegics
- Surgery

Pseudomonas Ulcer
















Fungal
Filament and Yeast

Risk Factor
Trauma w/ plant or vegetable material
Contact Lens Wear
Steroids topical

Signs&symptoms
Fewer inflammations
gray-white,dry appearing infiltrate
irregular feathery or filament margin

Management
Antifungal



Keratoplasty
Skleritis
Bacterial and fungal infections are rare
Extensions of microbial keratitis, trauma, foreign body
Uveitis
Inflammation of the uveal tract

Anterior : Iritis, iridocyclitis
Intermediate : Pars planitis,hyalitis
Posterior : Chorioretinitis,
retinochoroiditis,
retinitis,neuroretinitis
Panuveitis
Uveitis
Clinical signs
Conjunctival,episcleral,scleral injection and oedema
Corneal melt, infiltrates
Keratic precipitates,
Hypopion
Iris nodules
Iris Atrophy
Posterior synechia
Peripheral anterior synechia

Uveitis
Viral anterior uveitis
Intermediate Uveitis
Ocular Toxoplasmosis
CMV Retinitis
Dengue Associated Intraretinal Haemorrhage
TB Ocular
Endophthalmitis
Endophthalmitis : Endogen
Exogen Trauma
Surgery
Signs&Symptoms :
Visual decrease, inflammations signs

Management
Antibiotic or antifungal
Pars Plana Vitrectomy

Endogenous Endophthalmitis
Panophthalmitis

















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