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Conjunctival Diseases, Ulcers, Keratopathies - Coggle Diagram

- - - - viral or bacterial
    - - bacterial
    - - Treat: separate eyelids, flush and antibiotic ointments QID-6x/day
  - - - Treat: topical steroid BID-TID, Megestrol acetate BID-TID(great when concurrent ulceration)
  - - - Proliferative white pink lesion, KCS and topical immunosuppressive therapy, originates from nasal or temporal limbus like eosinophilic but lesion is raised in this case, uni- or bilateral, variable discomfort
- - - - Symptoms
        
        conjunctival ulceration in young kittens
        
        non-ocular
        
        URI, oral/nasal ulcerations, polyarthritis
        
        Treatment: broad spectrum topical antibiotics (TID-QID)
    - - Treatment
        
        topical (TID-QID): Erythromycin, Chloramphenicol, Ofloxacin
        
        DX: cytology, PCR, serology, culture
      - symptoms: marked chemosis, hyperemia, serous discharge, follicles, no corneal involvement
    - - High seroprevalence
        
        Latency in trigeminal ganglion
        
        spread by direct contact or aerosolization
        
        Epitheliotropic virus: respiratory tract, conjunctiva and cornea
        
        Vaccine shortens and lessens severity of dz, doesnt prevent
      - Symptoms
        
        URI
        
        Corneal ulcers & keratitis
        
        Big ones
        
        Conjunctival hyperemia
        
        Chemosis
        
        Blepharospasm
        
        Mucoid discharge
        
        Complications
        
        Globe perforation, symblepharon
        
        DZ
        
        Cytology (intranuclear inclusions)
        
        FHV-1--> PCR, Viral isolation
        
        Response to treatment
        
        Topical:Cidofovir(BID), idozuridine(4-8x), trifluridine (4-6x) and topical antibiotic (TID-QID)
        Systemic: Famciclovir, lysine (kinda)
        
        Signalment, history, clinical signs
    - - Symptoms: same as Chlamydia but chemosis is not marked
- - - - Component of Atopy
        
        Environmental allergens
        
        Follicular (Bilaterally infected, but may only have 1 clinical eye)
        
        Young dogs!! (<18 months)
        
        engorged lymphoid follicles!
      - Treatments
        
        Hyposensitization
        
        Oral/topical antihistamines
        
        oral/topical steroids
- - - - Hypopyon
      - anterior uveitis
    - - Medical
      - Surgical
      - Recheck