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  #1  
Old 09-08-2012
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Default Ophthalmology Question

A20-year-old female presents to the office complaining that her right eye has been itchy and watery. The patient reports that the onset was abrupt. The patient is noted to be afebrile with normal vital signs. Examination discloses a red eye with watery discharge. Minimal preauricular adenopathy is also found on examination. Tonometry is normal. Profuse tearing is noted (Figure). Which of the following is the most likely diagnosis?

(A) viral conjunctivitis
(B) bacterial conjunctivitis
(C) foreign body reaction
(D) allergic conjunctivitis
(E) acute open-angle glaucoma

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Old 09-08-2012
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its viral conjunctivitis----profuse watery discharge,itchiness and periauricular adenopathy.
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Old 09-08-2012
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yes.........A..........
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Old 09-09-2012
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Most probably correct answer is (A)viral conjunctivitis= (most common cause) red eye+Profuse tearing+preauricular adenopathy
(B) bacterial conjunctivitis=associated with purulent discharge+fever
(C) foreign body reaction= not associated with preauricular adenopathy(not sure)
(D) allergic conjunctivitis= no Hx of other allergic conditions+typically not ass with preauricular adenopathy+Itching is the most prominent symptom
(E) acute open-angle glaucoma= Elevated intraocular pressure+gradually progressive visual field loss+optic nerve damage
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Old 09-09-2012
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A.) viral conjunctivitis
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I think answer is A
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Answer (A) Viral (follicular) conjunctivitis most often presents with inimal discharge and itching as compared to the moderate-to-profuse discharge of bacterial conjunctivitis. While mild pain and photophobia may be noted in viral, bacterial, fungal, and allergic conjunctivitis preauricular adenopathy is common in viral and fungal conjunctivitis only. Allergic conjunctivitis presents with minimal discharge and marked itching. The patientís young age and normal eye pressure (tonometry) helps to rule out glaucoma
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