Red Flags in Ophthalmology
Dr. med. Gian Luca Pedroli, Mendrisio
FMH Ophthalmologie - Opthalmochirurgie
Presidente Società Svizzera di Oftalmologia e Oftalmochirurgia
Colored sheet
Voting ! red blue green yellow
TEST ! native language
FED I
Education and Training
• Study: medecine 6 years
• Opthalmology: 5 years
• Opthalmic Surgery: 2 years
• Minimum 6 + 7 years, Tot 13 years
Segment
• Anterior
• Posterior
• Adnexa
Symptoms
• Pain
• Discharge
• Itching / Burning
• Loss of visual acuity, progressive or sudden
Examination
• Open / Close
• Colour
• Motility
• Pupil
Hyposphagma• Ask for antithrombotic or
anticoagulant therapy
• Therapy ?
• Nothing
• Cortison
• AINS
• Opthalmologist
Chemosis• Ask for some contact (plants ,
drops, drugs)
• Therapy ?
• Nothing
• Cortison
• AINS
• Opthalmologist
Conjunctivitis• Ask for some contact (plants ,
drops, drugs)
• Therapy ?
• Antibiotic
• Cortison
• AINS
• Opthalmologist
Blepharitis
• Therapy ?
• Nothing
• Antibiotic
• Cortison
• Wash and scrub
• Opthalmologist
Hordeolum
• Therapy ?
• Puncture / Evacuation
• Antibiotic
• Cortison
• Opthalmologist
Chalazion
• Therapy ?
• Puncture / Evacuation
• Antibiotic
• Cortison
• Opthalmologist
Blepharo-conjunctivitis
• Therapy ?
• Nothing
• Antibiotic
• Cortison
• Wash and scrub
• Opthalmologist
Hordeolum ???
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Dacryo-adenitis ?
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Conjunctivits ?
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Dacryocystitis
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Dacryocystitis
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Orbital Cellulitis
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Orbital Cellulitis
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Orbital Cellulitis
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Eczema
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Eczema
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Foreign body
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Foreign body
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Foreign body
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Foreign body
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Ulcus
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Basalioma
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Trauma
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Trauma
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Trauma
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Trauma
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Trauma / Tumor
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Tumor / Basedow
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Trauma
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Fistula a-v
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Pannus
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Ulcus
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Erosio
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Herpes
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
Herpes
• Therapy ?
• Fomentation
• Antibiotic
• Cortison
• Opthalmologist
THM Take Home Message