radiation exposure keratopathy

cane with present complaint as u c.past h/o water like bubbles on her face 5 to 6 months back no treatment received.not a diabetic r hypertensive.pain on her rit half of face with numbness.-bells palsy . treatment options.?

1yr/male baby. C/c- Itching spread to both armpit, Lower limbs and Upper limbs. Dx and Rx?

V v v important DRUGS OF CHOICE ---------------------------------- 1. Paracetamol poisoning- :- - acetyl cysteine 2. acute bronchial- asthma :- salbutamol 3. acute gout :- NSAIDS 4. acute hyperkalemia:- calcium gluconate 5. severe DIGITALIS toxicity :- DIGIBIND 6. acute migraine :- sumatriptan 7. cheese reaction :- phentolamine 8. atropine poisoning :- physostigmine 9. cyanide poisoning :- amyl nitrite 10. benzodiazepine poisoning:- flumazenil 11. cholera :- tetracycline 12. KALA-AZAR :- lipozomal amphotericin- B 13. iron poisoning :- desferrioxamine­ 14. MRSA :- vancomycin 15. VRSA :- LINEZOLID 16. warfarin overdose :- vitamin-K (NIPER- 2009) 17. OCD :- fluoxetine 18. alcohol poisoning :- fomepizole 19.Epilepsy in pregnancy: carbamezepine safe among older epileptics & lamotrigine, levitracetam safe in newer AED! 20. anaphylactic shock :- Adrenaline 21. MRSA Infection-Vancomycin 22. Malaria in Pregnancy-Chloroquine 23. Whooping Cough or Perteusis- Erythromycin 24. Kawasaki disease-IV Ig 25. Warferin Overdose-Vit-K 26. Heparin Overdose-Protamine 27. Hairy Cell Leukemia-Cladirabine 28. Multiple Myeloma- Melphalan 29. CML-Imatinib 30. Wegner's granulomatosis-Cyclophosphamide 31. HOCM- Propranolol 32. Delirium Tremens-Diazepam 33. Drug Induced Parkinsonism-Benzhexol 34. Diacumarol Poisoning-Vit-K 35. Type-1 Lepra Reaction-Steroids 36. Type- 2 Lepra Reaction-Thalidomide 37. Allergic Contect Dermatitis-Steroids 38. PSVT- 1st-Adenosine, 2nd-Verapamil, 3rd-Digoxin 39. Z-E Syndrome- Proton Pump Inhibitor 40. Chancroid-Cotrimoxazole 41. Dermatitis Herpetiformis-Dapsone 42. Spastic Type of Cerebral Palsy-Diazepam 43. Herpis Simplex Keratitis-Trifluridine 44. Herpes Simplex Orolabialis-Pancyclovir 45. Neonatal Herpes Simplex-Acyclovir 46. Pneumocystis carinii Pneumonia-Cotrimoxazole For Nodulo 47. 47. Cystic Acne-Retinoic acid 48. Trigeminal Neuralgia-Carbamezapine 49. Actinomycosis-Penicillin 50. Plague- Streptomycin 51. Opioid Withdrawal- Methadone 2nd-Clonidine 52. Alcohol Withdrawal- Chlordiazepoxide 2nd-Diazepam 53. Post Herpetic Neuralgia- Fluphenazine 54. WEST Syndrome-ACTH 55. Diabetic Diarrhoea- Clonidine 56. Lithium Induced Neuropathy-AmilorideCommunicable Disease: 57. Tetanus: PEN G Na; TETRACYCLINE; (DIAZEPAM 58. Diphteria: PEN G K; ERYTHROMYCIN 59. Pertusis: ERYTHROMYCIN; AMPICILLIN 60. Meningitis: MANNITOL (osmotic diuretic);DEXAM ETHASONE (anti-inflammatory); DILANTIN/PHENYTOIN (anti-convulsive); PYRETINOL/ENCEPHABO L (CNS stimulant) 61. Cholera: TETRACYCLINE 62. Amoebic Dysentery: METRONIDAZOLE 63. Shigellosis: CO-TRIMOXAZOLE 64. Typhoid: CHORAMPHENICOL 65. Rabies: LYSSAVAC, VERORAB 66. Immunoglobulins: ERIG or HRIg 67. Malaria: CHLOROQUINE 68. Schistosomiasis: PRAZIQUANTEL 69. Felariasis: DIETHYLCARBAMAZINE CITRATE 70. Scabies: EURAX/ CROTAMITON 71. Chicken pox: ACYCLOVIR/ZOVIRAX 72. Leptospirosis: PENICILLIN; TETRACYCLINE;ER YTHROMYCIN 73. Leprosy: DAPSONE, RIFAMPICIN 74. Anthrax: PENICILLIN 75. Tuberculosis: R.I.P.E.S. 76. Pneumonia: COTRIMOXAZOLE; ProcainePenicillin 77. Helminths: MEBENDAZOLE; PYRANTELPAMOATE 78. Meningitis: MANNITOL (dec. ICP) ;DEXAMETHASONE ( relieve cerebral edema) ;DIAZEPAM ( anticonvulsant); PENICILLIN 79. Syphilis: PENICILLIN 80. Gonorrhea: PENICILLIN...

A 55 yrs male , c/o f.b fall in rt eye on yesterday .No Rx done so far. No headache. Vn 6/18. No other injury . Slight congestion present. please discuss.

Photokeratitis (Ultraviolet Keratitis): Causes, Symptoms, And Treatment india.curejoy.com Oct 5, 2017 12:00 PM   Did you know that your eyes could get sunburned? Photokeratitis, also known as ultraviolet keratitis, is a painful, but thankfully temporary, eye condition brought about by exposure to ultraviolet rays, the source of which is usually the sun. Just as sunburn affects the skin, photokeratitis affects the thin top layer of the cornea and the conjunctiva, which is the cell layer that covers the whites of the eye and the inside of the eyelids. What Causes Photokeratitis? The sun emits UV-A, UV-B and UV-C rays. UV-C is absorbed by the ozone layer so it does not harm us; however, the other two pass through and can cause both short and long-term damage to the eyes. While the cornea of the eye blocks quite a bit of UV-B radiation, UV-A radiation can go really deep, easily penetrating the full thickness of the cornea. The damage can be either because of direct sunlight or because of sunlight reflected by ice, snow, water, or even sand. Staring at the sun directly, such as during a solar eclipse, can also cause eye damage. If you enjoy the outdoors and activities such as hiking, swimming, or mountain climbing, your risk of photokeratitis increases. And light-colored eyes tend to be more photosensitive. Ultraviolet Radiation Can Hit Even On Cloudy Days When the sun’s rays hit your eyes, your body’s natural reaction is to resist penetration. Your pupils constrict, your eyelids close, and you may even squint. However, these mechanisms are activated by bright, visible light and not by UV radiation. And, unfortunately, UV radiation may be quite high even on a cloudy day. So if you are outdoors skiing, snowmobiling, or mountain climbing, make it a point to wear your UV-protective sunglasses even if the sky is overcast. Snow Blindness: A Common Type Of Photokeratitis Snow blindness or arc eye is an extreme but common type of photokeratitis and is caused by UV rays reflected off snow and ice. The condition is common near the South and North Poles and in mountain regions where the air is thinner, thus offering less protection from UV rays. Snow blindness may have other symptoms such as freezing of the cornea’s surface and severe drying of the corneal surface because of extremely dry air. Man-Made Sources Of UV Light Can Cause Photokeratitis Extended exposure to man-made sources of UV light such as lasers, lamps used for tanning, welding equipment, mercury vapor lamps, photographic flood lamps, lightning, halogen desk lamps, metal halide bulbs, and carbon arcs can cause photokeratitis. Using a photocopy machine for long hours with the lid open has also been known to cause photokeratitis. Even UV lamps used in nightclubs have been associated with it. Symptoms Of Photokeratitis If you suffer from photokeratitis, you may have: Pain or redness in the eyesA gritty feeling in the eyesA burning sensationBlurred visionHeadachesSwelling in the eyes and/or lidsSensitivity to lightTwitching of the eyelidsTemporary loss of visionHalos and glares around lights The symptoms may last 6 to 24 hours. They usually disappear within 48 hours. If your eyes are subjected to repeated or intense exposure to UV radiation, photokeratitis may make an appearance after a latent period that can last anywhere between 30 minutes and 12 hours. The length of this period varies depending on the severity of the exposure and the eye pain and discomfort may set in much later. The complete absence of symptoms during this period is attributed to the dramatic drop in corneal sensitivity. Preventing Photokeratitis Here are some tips to protect your eyes from UV rays when you go outdoors. Stay In The Shade If possible, stay in the shade when you are outdoors. Of course, in addition to that, you need to wear sunglasses, a hat, and protective clothes too. Use A Hat Wear a wide-brimmed hat or visor when you go outdoors. The brim should preferably shade your face, ears, as well as the back of your neck. Straw hats are not the best choice since they allow sunlight in through the holes. Use a cap made of tightly woven fabric, such as canvas, for the best protection from UV rays. A darker colored hat may be a better option. A baseball cap works well if you make sure your ears and back of your neck are covered by some clothing. Use Eye-Protective Equipment At Work Use proper eye protective equipment if you are exposed to UV radiation on the job. Anti-reflective coatings do what they are supposed to do but tests show that they do not protect your eyes from UV rays. In fact, even if the source of UV radiation is behind you, it can reflect off your glasses and impact your eyes. Only eyewear with a high wrap frame and high base curve lenses can prevent UV radiation from reaching the eye. Wear Effective Sunglasses Just as you use sunblock for your skin before stepping out, make it a point to wear sunglasses before going into the sun. Do remember that even glare from snow, water, or sand can cause burns to the eyes, even when it’s cloudy or overcast. Wear your UV-blocking sunglasses if you are out in the snow, climbing mountains, trekking in desert sands, or getting tanned under a lamp. You may also need snow goggles to fight the snow–sun combination if you are skiing or out during harsh winters. Choose sunglasses or goggles which absorb or absorb 99–100 percent of UV rays for optimal protection. Use wrap-around sunglasses or glasses with side panels if you plan to be outdoors for long. Sunglasses also protect the tender skin around your eyes. Buying The Right Kind Of Sunglasses Before you splurge on a pair of fancy sunglasses, here are a few tips to keep in mind. Check whether the sunglasses are certified as 100 percent UV-blocking.Opt for oversized/wrap around styles – bigger is better where UV protection is concerned.Darker lenses do not necessarily provide UV protection.Pricey sunglasses are not necessarily UV-protective. Check for certification before you buy. First Aid For Photokeratitis Once you are affected by photokeratitis, Go indoors immediately and stay for a while in a darkened room.Remove contact lenses, if any.Do not rub your eyes.Place a cold compress over your closed eyes.Keep your eyes moistened with artificial tears.Wear sunglasses indoors as well since your eyes may be extra sensitive to sunlight for a while.Talk to your ophthalmologist and take an over-the-counter non-steroidal anti-inflammatory pain reliever if necessary.You could also use a recommended antibiotic eye drops or try a reliable home remedy. If you experience loss of vision or your discomfort lasts longer than 2 days, seek medical help. Soothing Home Remedies For Photokeratitis Raw Potato Place thin slices of raw potato over your eyes to reduce inflammation and soothe the eyes. A poultice made of scraped potato may also be equally effective. Plantain Leaves Place fresh, green plantain leaves on the eyelids to relieve soreness and reduce inflammation. Fresh plantain leaves have antibiotic properties. Cool Compress Place a cool compress of lavender or hyssop tea on top of each closed eyelid for relief from pain.