Acute Conjuctivitis:

Redness of eyes, Foreign body sensation, Sticking of eyelids.

Use dark glasses for photophobia. Do not pad the eye. Keep it open. Keep a handkerchief to wipe the discharge repeatedly. Do not touch it everywhere as the discharge is infective. Isolate from other family members.

Ciplox or Gentamycin eyedrops 2 hourly till the symptoms and redness subside. Instill drops in both eyes, even if only one has conjunctivitis.

Gentamycin ir Chloromycetin eye ointment at bedtime.

Tab. Combiflam 1 tds x 3-4 days.

Cap. CEFF 500mg tds x 5 days, if eyelids show swelling and cellulites.

Chronic Blepheritis:

Scale formation at the eyelid margin. The margins are swollen and rd.

Wash the eyes. Rub the eyelid margins gently with a soft, wet cloth to rub away the loose scales.

Apply TERRAMYCIN or Neosporin ointment to the lid margin with the tip of your finger, and gently rub it into the margin for 2 -3 weeks.

Acute Dacrocystitis

Redness, swelling and pain near the inner canthus at the root of the nose.

Foment repeatedly with a handkerchief dipped in warm water.

Cap. ODOXIL 500mg tds x 5 days.

Tab. Combiflam 1 tds x 3-4 days.

Ciplox or GEntamycin eyedrops 4 hourly.

If the pus points, refer for incision and drainage.

After the acute infection subsides, refer to ophthalmic surgeon for surgery

-Dacryocystectomy or

Dacryo-custo-Rhinostomy.

Stye:

Painful Nodular swelling at eyelid margin, which forms a tiny abscess around the root of a hair follicle. (If it is painless, and a little away from the lid margin, it is a chalazion)

Foment repeatedly, with a handkerchied dipped in warmwater.

Cap. Becilox 500mg tds x 5 days.

Tab. Combiflam 1 tds x 3-4 days.

Ciplox eye drops 4 hourly.

If puspoints around the root of a eyelash hair, gently pull out the hair, and drain the pus.

F.B. in eye

First ask the patient to splash water and try to rub it our.

Then ask to take water in the hollow of hand, dip the eye in it, and open close the eyes under the water.

IF these measures fail, examine the eye in bright light.

IF the F.B. is the conjuctival sac, it hides under the upper or lower lid. Retract the lower lid and inspect, Then evert the upperlid and inspect. If the FB is seen, touch it with a wet cotton swab. The FB will usually stick to the swab or may have to be gently teased out.

If the F.B is in the cornea. Instill xylocaine drops in the eye, and wait for 5 minuted. Then ask the patient to look at a fixed point on the ceiling and first try to gently remove it with a cotton swab. It will come on the swab, if it is superficial. But if it is embedded, then it is better to send the patient to ophthalmologist, who will gently lift it then it is better to send the patient to ophthalmologist, who will gently lift it with the tip of a 24 no. needle, without damaging the cornea.

Gentamycin eye ointment

Chloromycetin eye ointment

Tab. Combiflam

Neosporin ointment

Tab. Combiflam

Cap. Becilox