NURS 5335 VERIFIED EYE EXAM QUESTIONS AND ANSWERS
LATEST UPDATE
Cellulitis: Orbital
Vision frequently affected; localized tenderness,
erythema, edema; fever; proptosis
Referral to ophthalmologist for
hospitalization, intravenous antibiotics
Cellulitis: Preseptal
Vision usually not affected; localized tenderness,
erythema, edema; fever sometimes present
Systemic, broad-spectrum antibiotics;
office follow-up visit in 12-24 hr
Cellulitis: Dacryocystitis
Chronic tearing; eyelash crusting; localized
tenderness; circumscribed erythema, edema
in the inferior medial canthal area; may be
able to express purulent material from the
nasolacrimal duct
Warm compresses; gentle massage; topical
and/or systemic antibiotics
Blepharitis
Ocular burning; eyelid margins red with scaling
or crusting
Warm compresses; daily lid scrubs;
erythromycin or bacitracin ophthalmic
ointment for anterior blepharitis
Eyelid lesions: Chalazion
, Nontender in chronic lesions; localized
erythema, edema of eyelids
Warm compresses; daily lid scrubs; lid
massage
Eyelid lesions: Hordeolum
Localized tenderness, erythema, edema of
eyelids; internal lesions pointing to external
or internal eyelid surface; external lesions
pointing to eyelid margin
Warm compresses; lid scrubs for recurrent
lesions
Eyelid lesions: Soft tissue hemorrhage
Localized tenderness sometimes present;
erythema, ecchymosis, edema of affected
area
Cold compresses; if orbital floor fracture
suspected, computed tomography scan
OCULAR SURFACE REDNESS: Angle-closure glaucoma
Severe pain; nausea, vomiting; halos around
lights; photophobia; cornea cloudy with
variable decrease in vision; conjunctival
hyperemia; pupil mid-dilated and fixed; firm
globe; shallow anterior chamber
Emergent referral to ophthalmologist; with
physician consultation, consider
acetazolamide, 500 mg IV or PO, topical
beta blocker
LATEST UPDATE
Cellulitis: Orbital
Vision frequently affected; localized tenderness,
erythema, edema; fever; proptosis
Referral to ophthalmologist for
hospitalization, intravenous antibiotics
Cellulitis: Preseptal
Vision usually not affected; localized tenderness,
erythema, edema; fever sometimes present
Systemic, broad-spectrum antibiotics;
office follow-up visit in 12-24 hr
Cellulitis: Dacryocystitis
Chronic tearing; eyelash crusting; localized
tenderness; circumscribed erythema, edema
in the inferior medial canthal area; may be
able to express purulent material from the
nasolacrimal duct
Warm compresses; gentle massage; topical
and/or systemic antibiotics
Blepharitis
Ocular burning; eyelid margins red with scaling
or crusting
Warm compresses; daily lid scrubs;
erythromycin or bacitracin ophthalmic
ointment for anterior blepharitis
Eyelid lesions: Chalazion
, Nontender in chronic lesions; localized
erythema, edema of eyelids
Warm compresses; daily lid scrubs; lid
massage
Eyelid lesions: Hordeolum
Localized tenderness, erythema, edema of
eyelids; internal lesions pointing to external
or internal eyelid surface; external lesions
pointing to eyelid margin
Warm compresses; lid scrubs for recurrent
lesions
Eyelid lesions: Soft tissue hemorrhage
Localized tenderness sometimes present;
erythema, ecchymosis, edema of affected
area
Cold compresses; if orbital floor fracture
suspected, computed tomography scan
OCULAR SURFACE REDNESS: Angle-closure glaucoma
Severe pain; nausea, vomiting; halos around
lights; photophobia; cornea cloudy with
variable decrease in vision; conjunctival
hyperemia; pupil mid-dilated and fixed; firm
globe; shallow anterior chamber
Emergent referral to ophthalmologist; with
physician consultation, consider
acetazolamide, 500 mg IV or PO, topical
beta blocker
