1. Simon Taylor MA PhD FRCOphth Clinical Senior Lecturer & Consultant Ophthalmologist

2.  Conjunctiva  Cornea  Intraocular contents  Lids and orbit

3. SYMPTOMS  Pain  Watering  Redness  Photophobia  Diplopia  Poor vision SIGNS  Reduced visual acuity  Lid swelling/redness  Conjunctival swelling/injection  Corneal ulceration  Hypopyon  Restricted eye movements  Relative afferent pupillary defect  Fever

4.  Very common  Bilateral  Redness  Grittiness  Morning stickiness  Normal visual acuity  Staph & Streptococcus

5. HAEMORRHAGIC  Enterovirus 70  Highly contagious  Self-limiting GONOCOCCAL  Hyperacute onset  Profuse creamy pus  Periocular oedema

6.  Adenovirus  Acute onset  Bilateral in 60%  Watering, redness, discomfort, photophobia  Follicular response  Very contagious

7.  5-14 days after birth  Mainly chlamydial  Could be gonococcal  Purulent discharge  Papillary reaction  Sup. corneal pannus  Conjunctival scarring

8.  Contact lens wear  Bacterial  Acanthamoeba  Gardening injury or Organic FB  Bacterial  Fungal

9. scedosporium

10.  Elderly, diabetic, use of expired eyedrops  Use of contact lenses  History of foreign body/trauma  Ask about cold sores Marginal ulcer

11.  Viral in origin  Pain & Watering  Photophobia  Treat with Oc. Aciclovir

12. Dendritic ulceration AVOID STEROIDS!

13.  Viridans streptococci

14.  Following any intraocular procedure  Cataract surgery  Intravitreal injection  Pain, eyelid swelling, reduced vision and vitritis are all compelling signs

15. BACTERIALFUNGAL

16.  Lacrimal Sac Abscess  Acute or chronic  Secondary to blockage of nasolacrimal duct  Watering & discharge  Red, tense, painful swelling

17.  Systemically unwell  Restricted eye movements  Optic nerve compromise  Colour vision  RAPD  Distance acuity