Category Archives: Ophthalmology

Blurred vision

This week’s BMJ has an article on the causes. I’ve done a summary table: Causes of blurred vision. Anyway, the bit I’ll most want to remember when I’m seeing people is the list of referral criteria, so here they are: … Continue reading

Posted in Credits 2020, Don't miss, Ophthalmology | Leave a comment

Acute red eye

Acute angle-closure glaucoma: Intermittent haloes around lights.  Nausea and sometimes vomiting. Photophobia. Severe visual impairment. Red eye with hazy cornea and fixed mid-dilated pupil. Eye feels firmer than other side to palpation through closed lid. (Do not palpate an eyeball with a possible … Continue reading

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Squints in childhood

My son has a squint, so I’m familiar with treatment of childhood squints. However, I wasn’t previously aware of red flags to look for when children present with a squint: Abnormal red reflex Limited abduction Diplopia Headaches (the article just … Continue reading

Posted in Credits 2017, Ophthalmology, Paediatrics | Leave a comment

Examination of eyes/vision in young children

(From BMJ learning unit, based on BMJ article BMJ 2015:350:h1716) Have child sitting on parent’s lap, facing you, parent leaning slightly backwards Sing a nursery rhyme for distraction Visual inspection of the eyes Dim lights & use ophthalmoscope from a … Continue reading

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A couple of interesting points I didn’t know: If lid hygiene is not controlling the symptoms, the next step is a prolonged course of topical antibiotics – two to three months. If that still doesn’t help, the next line is … Continue reading

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Eyelid lumps

These, obviously, include the usual list of benign/malignant skin lumps, plus xanthelasma, which I already know. The list below is to clarify some that I wasn’t sure of. Chalazion: blocked meibomian gland. Internal hordeolum: infected chalazion. External hordeolum: infected hair … Continue reading

Posted in Credits 2014, Lumps and Bumps, Ophthalmology | Leave a comment

Flashes and floaters

Flashes and floaters typically indicate posterior vitreous detachment; flashes are caused by the shrinking vitreous tugging on the retina, and floaters can be due to blood, inflammatory debris, or condensations (thickened strands) of the vitreous humour. Risk factors for posterior … Continue reading

Posted in Credits 2013, Ophthalmology | Leave a comment