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Eye disease and surgery (non-retinal)

167 articles

Conjunctivitis

Conjunctivitis (pink eye) is inflammation of the conjunctiva causing red, discharging eyes; mainly viral (~80% of infectious cases), bacterial, or allergic; contagious viral and bacterial forms usually self-resolve.

Conjunctivochalasis

Conjunctivochalasis (CCH), also called conjunctival chalasis, is a loose, redundant folding of the bulbar conjunctiva, typically bilateral and inferior, mainly from aging, causing tear film instability, irritation, and epiphora; treated with lubricants, anti-inflammatories, or conjunctival excision or cauterization.

Contact lens-associated corneal infiltrates

Contact lens-associated corneal infiltrates, also called corneal infiltrative events, are white inflammatory cell aggregates in the cornea of lens wearers; distinguishing sterile infiltrates from microbial keratitis drives urgent management.

Contracted socket

Contracted socket (eye), also called socket contracture after enucleation or evisceration: shrinkage of anophthalmic orbital tissue with shallow fornices that prevents retention of an ocular prosthesis; graded by severity and treated with grafts, implants, and flaps.

Corneal abrasion

Corneal abrasion, a scratch of the corneal epithelium, is a common eye injury from trauma, foreign bodies, or contact lenses. Diagnosed with fluorescein and slit lamp; heals in 1-3 days; patching not recommended and antibiotic benefit unproven.

Corneal abscess

Corneal abscess, a suppurative form of infectious keratitis appearing as a white corneal opacity, caused by bacteria, fungi, or parasites; diagnosed by corneal scraping or suture sampling, treated with fortified topical antibiotics and sometimes keratoplasty.

Corneal deformities

Corneal deformities (ICD-11 9A78.5) are abnormal corneal shapes, chiefly keratoconus (9A78.50) and corneal staphyloma (9A78.51), causing blurred vision and irregular astigmatism, treated with lenses or keratoplasty.

Corneal degeneration

Corneal degeneration (ICD-10 H18.4, ICD-11 9A78.4) covers acquired corneal changes from aging, metabolism, or inflammation, unlike hereditary dystrophies; examples include arcus senilis, band keratopathy, and Salzmann nodular degeneration.

Corneal endotheliitis

Corneal endotheliitis is inflammation centered on the corneal endothelium, the cell layer keeping the cornea clear, causing corneal edema; most cases are viral, chiefly herpesviruses like cytomegalovirus, and delayed treatment risks irreversible endothelial cell loss.

Corneal tattooing

Corneal tattooing, or keratopigmentation, deposits pigment into the corneal stroma to disguise corneal scars, mask iris-defect symptoms, or change eye color; practiced since Galen, modernized by Von Wecker in 1869, with no FDA-approved pigments.

Corneal transplantation

Corneal transplantation (keratoplasty) replaces diseased corneal tissue with donor cornea. First done by Eduard Zirm in 1905; types include PK, DALK, DSAEK, and DMEK; global supply is 1 cornea per 70 needed.

Corneal ulcer

Corneal ulcer (ulcerative keratitis): an open sore on the cornea, usually infectious (bacterial, viral, fungal, Acanthamoeba), an ocular emergency. Contact lens wear is the leading risk factor; treated with intensive topical antibiotics.

Demecarium

Demecarium (demecarium bromide, Humorsol, Tosmilen, BC-48) is a long-acting cholinesterase inhibitor miotic for glaucoma, FDA approved 1959 and now discontinued; it survives in veterinary use via compounding pharmacies.

Diabetic cataract

Diabetic cataract: lens opacity occurring earlier and more often in diabetes (2-5 fold risk), driven by polyol-pathway sorbitol and oxidative stress; surgery carries higher complication and retinopathy-progression risks.

Diplopia

Diplopia (double vision): perception of two images of one object. Monocular diplopia persists with one eye open (cataract, astigmatism); binocular diplopia resolves when either eye closes and signals ocular misalignment, from decompensated phoria to cranial nerve palsy.

Dislocation of lens

Dislocation of lens (ectopia lentis): displacement of the eye's crystalline lens from zonular weakness or rupture. Subluxation is partial, luxation complete; trauma is the most common cause, FBN1/Marfan syndrome the leading genetic cause.

Dorzolamide

Dorzolamide, sold as Trusopt, is a topical carbonic anhydrase inhibitor eye drop first approved in the United States in 1994 to lower elevated intraocular pressure in glaucoma.

Ectropion of eyelid

Ectropion of the eyelid: outward turning of the eyelid margin, usually the lower lid, exposing the inner surface. Main types involutional, cicatricial, mechanical, paralytic; treated with lubricants and lateral tarsal strip surgery.

Endophthalmitis

Endophthalmitis: purulent intraocular inflammation of vitreous and aqueous, usually infectious; exogenous or endogenous. Treated with intravitreal vancomycin and ceftazidime, with vitrectomy guided by the 1995 EVS trial.

Enucleation of the eye

Enucleation of the eye is surgical removal of the entire globe, unlike evisceration (contents only) or exenteration (whole orbit). First documented by Bartisch in 1583; used for intraocular malignancy, blind painful eye, and trauma, usually with an orbital implant and later prosthesis.

Epiblepharon

Epiblepharon is a congenital eyelid condition, common in East Asian children, in which a skin-muscle fold overrides the lower lid margin and turns lashes against the eye; it often resolves spontaneously and is corrected by the modified Hotz procedure.

Epibulbar choristoma

Epibulbar choristoma (ICD-11 LA14.06): benign congenital growth of normal tissue in an abnormal site on the eye surface; types include dermoid, dermolipoma, complex, and the rare osseous choristoma containing bone.

Episcleritis

Episcleritis, also called bulbar conjunctivitis, is a benign, self-limited inflammation of the episclera between conjunctiva and sclera, with simple and nodular forms, usually idiopathic, sometimes linked to rheumatoid arthritis or IBD, and distinguished from scleritis by phenylephrine blanching.

Esotropia

Esotropia, also known as cross-eye or convergent strabismus, is a form of strabismus in which one eye deviates inward toward the nose, affecting about 0.67% of people worldwide.

Exophthalmos

Exophthalmos, also called proptosis, is the bulging of one or both eyes from the orbit, the bony socket. In adults it is most often caused by Graves disease.

Exotropia

Exotropia, also called wall-eye, is an outward-turning eye misalignment (strabismus). Most common form is intermittent exotropia (75-90% of cases, ~1% prevalence); treated with patching, overminus lenses, or eye muscle surgery.

Exposure keratitis

Exposure keratitis (exposure keratopathy, EK): corneal damage from dryness due to incomplete eyelid closure or poor blinking. Common in ICU patients (pooled prevalence 34%); treated with lubricants, moisture chambers, taping, tarsorrhaphy.

Eye discharge

Eye discharge (eye mucus, ICD-11 MC14): mucus, pus, or excess tears from the eye. Normal as sleep crust; abnormal color, texture, or amount signals conjunctivitis, keratitis, blepharitis, stye, or dry eye.

Eye examination

Eye examination: comprehensive adult medical eye evaluation (AAO Preferred Practice Pattern), including history, visual acuity, slit lamp, tonometry, dilation, and fundus exam; differs from simple vision screening, which USPSTF finds insufficient evidence for in older adults.

Eye surgery

Eye surgery covers procedures on the eye, from cataract extraction (couching to phacoemulsification, Ridley's 1949 IOL) to LASIK, retinal, and glaucoma surgery; cataract surgery is the leading global blindness treatment.