Red Flags in Ophthalmology

Dr. med. Gian Luca Pedroli, Mendrisio

FMH Ophthalmologie - Opthalmochirurgie

Presidente Società Svizzera di Oftalmologia e Oftalmochirurgia

Colored sheet

Voting ! red blue green yellow

TEST ! native language

FED I

Education and Training

• Study: medecine 6 years

• Opthalmology: 5 years

• Opthalmic Surgery: 2 years

• Minimum 6 + 7 years, Tot 13 years

Segment

• Anterior

• Posterior

• Adnexa

Symptoms

• Pain

• Discharge

• Itching / Burning

• Loss of visual acuity, progressive or sudden

Examination

• Open / Close

• Colour

• Motility

• Pupil

Test yourself !

Hyposphagma• Ask for antithrombotic or

anticoagulant therapy

• Therapy ?

• Nothing

• Cortison

• AINS

• Opthalmologist

Chemosis• Ask for some contact (plants ,

drops, drugs)

• Therapy ?

• Nothing

• Cortison

• AINS

• Opthalmologist

Conjunctivitis• Ask for some contact (plants ,

drops, drugs)

• Therapy ?

• Antibiotic

• Cortison

• AINS

• Opthalmologist

Blepharitis

• Therapy ?

• Nothing

• Antibiotic

• Cortison

• Wash and scrub

• Opthalmologist

Hordeolum

• Therapy ?

• Puncture / Evacuation

• Antibiotic

• Cortison

• Opthalmologist

Chalazion

• Therapy ?

• Puncture / Evacuation

• Antibiotic

• Cortison

• Opthalmologist

Blepharo-conjunctivitis

• Therapy ?

• Nothing

• Antibiotic

• Cortison

• Wash and scrub

• Opthalmologist

Hordeolum ???

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Dacryo-adenitis ?

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Conjunctivits ?

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Dacryocystitis

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Dacryocystitis

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Orbital Cellulitis

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Orbital Cellulitis

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Orbital Cellulitis

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Eczema

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Eczema

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Foreign body

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Foreign body

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Foreign body

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Foreign body

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Ulcus

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Basalioma

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Trauma

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Trauma

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Trauma

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Trauma

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Trauma

Trauma / Tumor

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Tumor / Basedow

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Trauma

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Fistula a-v

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Pannus

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Ulcus

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Erosio

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Herpes

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

Herpes

• Therapy ?

• Fomentation

• Antibiotic

• Cortison

• Opthalmologist

THM Take Home Message