Eye Conditions Overview in Primary Healthcare Guidelines
This document provides information on common eye conditions such as corneal ulcers and eye injuries/foreign bodies, presenting symptoms, and reasons for their inclusion in primary healthcare guidelines. It emphasizes the importance of early detection and management of these conditions to prevent complications and maintain eye health.
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Chapter 18: Eye conditions NATIONAL DEPARTMENT OF HEALTH AFFORDABLE MEDICINES ESSENTIAL MEDICINES PROGRAMME PRIMARY HEALTHCARE GUIDELINES 2018 1
EVIDENCE Please access the National Essential Medicines List Committee (NEMLC) report for detailed evidence (including rationale, references and costings) informing decision-making on medicine addition, amendments and deletions: http://www.health.gov.za/index.php/standard-treatment-guidelines-and- essential-medicines-list/category/285-phc DISCLAIMER This slide set is an implementation tool and should be used alongside the most recently published STG available on the EML Clinical Guide Application. This information does not supersede or replace the STG itself. 2
Corneal ulcer DESCRIPTION May be caused by an infection, a foreign body in the eye, abrasions on the eye surface, severely dry eye or wearing contact lenses that are left in overnight. Presents with blurring vision, photophobia, painful &watery eye, white patches on cornea, inflamed conjunictiva. CHANGES New STG added REASON Common condition that presents at primary level of care. 3
Eye injury/Foreign bodies DESCRIPTION Presents with disturbance of vision, complaints of foreign body in the eye that may not be visible, pain and lacrimation. Metallic foreign body embedded in the cornea appears as a cloudy spot with a dark speck (the metal splinter) in the centre. By James Heilman, MD - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php? curid=12161500 CHANGES New STG REASON Common condition that presents at primary level of care. 4
