Ultraviolet keratitis - Revision history

NadavNahumi: /* Clinical Features */

2020-03-28T21:42:30Z

Clinical Features

← Older revision		Revision as of 21:42, 28 March 2020
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	==Clinical Features==		==Clinical Features==
			[[File:UVKeratitis.png\|400px\|thumb\|Slit Lamp Exam of UV Keratitis<ref>Kwon DH, Moon JD, Park WJ, et al. Case series of keratitis in poultry abattoir workers induced by exposure to the ultraviolet disinfection lamp. Ann Occup Environ Med. 2016;28:3. Published 2016 Jan 15. doi:10.1186/s40557-015-0087-7</ref>]]
	*History of recent UV exposure - symptoms typically occur 6-12 hrs after exposure (will present late night/early AM)		*History of recent UV exposure - symptoms typically occur 6-12 hrs after exposure (will present late night/early AM)
	*Symptoms include bilateral [[eye pain]], foreign body sensation, lacrimation, blepharospasm, photophobia, chemosis, temporary decreased [[vision loss\|visual acuity]]		*Symptoms include bilateral [[eye pain]], foreign body sensation, lacrimation, blepharospasm, photophobia, chemosis, temporary decreased [[vision loss\|visual acuity]]

ClaireLewis: /* Management */

2019-09-24T17:17:55Z

Management

← Older revision		Revision as of 17:17, 24 September 2019
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	==Management==		==Management==
	*Analgesia (very painful condition) - PO [[NSAIDS]], [[opioids]].		*[[Analgesia]] (very painful condition) - PO [[NSAIDS]], [[opioids]].
	**Do not prescribe topical anesthetics (i.e. tetracaine) to be used at home, this can lead to poor corneal healing and corneal melt		**Do not prescribe topical anesthetics (i.e. tetracaine) to be used at home, this can lead to poor corneal healing and corneal melt
	*Eye rest (avoid re-exposure)		*Eye rest (avoid re-exposure)
	*Lacrilube (saline eye drops)		*Lacrilube (saline eye drops)
	*± Antibiotic ointment (erythromycin ophthalmic or ~~gentamycin~~ ophthalmic)		*± Antibiotic ointment ([[erythromycin]] ophthalmic or [[gentamicin]] ophthalmic)
	*± ~~Cycloplegics~~		*± [[Cycloplegic]]s

	==Disposition==		==Disposition==

ClaireLewis: /* Clinical Features */

2019-09-24T17:17:19Z

Clinical Features

← Older revision		Revision as of 17:17, 24 September 2019
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	==Clinical Features==		==Clinical Features==
	*History of recent UV exposure - symptoms typically occur 6-12 hrs after exposure (will present late night/early AM)		*History of recent UV exposure - symptoms typically occur 6-12 hrs after exposure (will present late night/early AM)
	*Symptoms include bilateral [[eye pain]], foreign body sensation, lacrimation, blepharospasm, photophobia, chemosis, temporary decreased visual acuity		*Symptoms include bilateral [[eye pain]], foreign body sensation, lacrimation, blepharospasm, photophobia, chemosis, temporary decreased [[vision loss\|visual acuity]]
	*[[Eye exam]] (including slit lamp)		*[[Eye exam]] (including slit lamp)
	**Surrounding eyelid and face may appear mildly erythematous and edematous (consistent with sunburn)		**Surrounding eyelid and face may appear mildly erythematous and edematous (consistent with sunburn)
	**Obvious tearing, discomfort, blepharospasm on exam with relief of symptoms after instilling topical anesthetic		**Obvious tearing, discomfort, blepharospasm on exam with relief of symptoms after instilling topical anesthetic
	**~~Fluoroscein~~ exam - '''Superficial Punctate Keratitis''' - small, pinpoint areas of increased uptake on cornea		**Fluorescein exam - '''Superficial Punctate Keratitis''' - small, pinpoint areas of increased uptake on cornea
	*Symptoms resolve spontaneously as cornea re-epithelializes over 48-72 hrs		*Symptoms resolve spontaneously as cornea re-epithelializes over 48-72 hrs

Rossdonaldson1: /* Background */

2018-11-20T21:25:17Z

Background

← Older revision		Revision as of 21:25, 20 November 2018
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	**Natural sources: snow, water, high altitudes (less protective ozone), eclipses		**Natural sources: snow, water, high altitudes (less protective ozone), eclipses
	**Artificial sources: Welder's arc, tanning beds, damaged metal halide lamps/lights		**Artificial sources: Welder's arc, tanning beds, damaged metal halide lamps/lights

			{{Keratoconjunctivitis Types}}

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Differential Diagnosis */

2018-11-20T21:19:24Z

Differential Diagnosis

← Older revision		Revision as of 21:19, 20 November 2018
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	==Differential Diagnosis==		==Differential Diagnosis==
			*Other causes of [[keratoconjunctivitis]]
	*Viral [[conjunctivitis]]		*Viral [[conjunctivitis]]
	*Thygeson's Superficial Punctate Keratitis		*Thygeson's Superficial Punctate Keratitis

Rossdonaldson1: /* See Also */

2018-11-20T21:18:58Z

Rossdonaldson1: /* See Also */

2018-11-20T21:18:30Z

Rossdonaldson1: /* See Also */

2018-11-20T20:47:31Z

Sabedi: /* Background */

2018-10-22T03:47:41Z

Background

← Older revision		Revision as of 03:47, 22 October 2018
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	==Background==		==Background==
	*Also known as ~~photoconjunctivitis~~, welder's flash, snow blindness		*Also known as photokeratitis, welder's flash, snow blindness
	*Prolonged/excessive UV exposure to eyes leads to inflammatory response and subsequent desquamation of corneal epithelium leaving exposed nerve endings of cornea		*Prolonged/excessive UV exposure to eyes leads to inflammatory response and subsequent desquamation of corneal epithelium leaving exposed nerve endings of cornea
			*May not be initially apparent with latent period (6-12 hours) before onset

	===Causes===		===Causes===

Jaconley: /* Management */

2018-05-03T12:48:24Z

Management

← Older revision		Revision as of 12:48, 3 May 2018
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	==Management==		==Management==
	*Analgesia (very painful condition) - PO [[NSAIDS]], [[opioids]].		*Analgesia (very painful condition) - PO [[NSAIDS]], [[opioids]].
	**~~If elderly consider~~ topical anesthetics (e.g. tetracaine) ~~if unable~~ to ~~tolerate opioids (Ensure good follow up~~ and ~~reliable social situation to avoid further~~ corneal ~~injury)~~		**Do not prescribe topical anesthetics (i.e. tetracaine) to be used at home, this can lead to poor corneal healing and corneal melt
	*Eye rest (avoid re-exposure)		*Eye rest (avoid re-exposure)
	*Lacrilube (saline eye drops)		*Lacrilube (saline eye drops)

← Older revision		Revision as of 21:18, 20 November 2018
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	*[[High Altitude Medicine]]		*[[High Altitude Medicine]]
	*[[Eye Algorithms (Main)]]		*[[Eye Algorithms (Main)]]
	*[[~~Ultraviolet keratitis~~]]		*[[Keratoconjunctivitis]]

	==References==		==References==

← Older revision		Revision as of 21:18, 20 November 2018
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	*[[High Altitude Medicine]]		*[[High Altitude Medicine]]
	*[[Eye Algorithms (Main)]]		*[[Eye Algorithms (Main)]]
			*[[Ultraviolet keratitis]]

	==References==		==References==

← Older revision		Revision as of 20:47, 20 November 2018
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	==See Also==		==See Also==
	*[[High Altitude Medicine]]		*[[High Altitude Medicine]]
			*[[Eye Algorithms (Main)]]

	==References==		==References==