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Red Eye Diagnosis and Treatment Guide
- 1. The Red Eye Is it serious? Do I need to do anything about it? Can I treat it myself ? Do I need to send the patient somewhere else and if so when? Pune 2019 Michael Eckstein
- 2. What questions are important? • How long have you had it, how is it changing? • Symptoms? Vision …… • Past History relevant? eg Contact lenses, surgery, previous uveitis…
- 3. symptoms
- 5. What can you do? -Check vision -Check pupils -Look at both eyes and eyelids -Use blue light with fluorescein if you have it
- 6. Causes
- 7. Causes • Irritation • Infection • Inflammation • Allergy • Trauma
- 8. Causes • Dry eyes • Foreign body • Conjunctivitis • Corneal ulcer • Keratitis • Uveitis • Lid disease: blepharitis, meibomianitis • Episcleritis • Scleritis • Traumatic
- 9. Categories Bilateral Unilateral Painful No pain Vision normal Vision reduced
- 10. Bilateral Unilateral Conjunctivitis Infection Allergy Dry eyes Blepharitis meibomianitis Infection Corneal ulcer Herpetic Inflammation Episcleritis Scleritis Marginal keratitis Pterygium Uveitis trauma
- 11. No Pain Pain Conjunctivitis Infection Allergy Dry eyes Blepharitis meibomianitis Infection Corneal ulcer Herpetic Inflammation Episcleritis Scleritis Marginal keratitis Uveitis trauma
- 12. Normal vision Vision affected Conjunctivitis Dry eyes Episcleritis Marginal keratitis ?scleritis ?uveitis Corneal ulcer ?Scleritis Uveitis Arc eye Severe conjunctivitis
- 13. Both eyes , no pain, normal vision
- 14. Pain, watering, normal vision
- 15. One eye, no pain, normal vision
- 16. One eye, pain, reduced vision
- 17. One eye, pain, vision reduced
- 18. One eye photophobia, reduced vision
- 19. One eye, pain, vision affected
- 20. Both eyes, pain, vision affected
- 21. Both eyes, normal vision, itchy
- 22. One eye, irritation, normal vision
- 23. When to consider referral • Visual loss • Severe pain • Purulent discharge • Corneal involvement • Conjunctival scarring • No response to Rx • Immunocompromised e.g HIV
Notas del editor
- Rhinosporidiosis, vernal