The red eye

Following the diagnostic pathways for the red eye

Conjunctivitis Iritis Glaucoma
Pain Gritty Moderate/severe Severe/radiating
Discharge Purulent Slight
Photophobia Mild Severe Moderate
Cornea Clear Keratic precipitates Epithelial oedema
Pupil Normal Small, fixed Mid-dilated, oval, fixed
Iris Normal Muddy Greenish-grey
Tension Normal Normal (tender) Very hard, very tender

 


  • Conjunctivitis
    • Staph, Strep, Haemophilus, viral
    • Ophthalmia neonatorum
    • Keratoconjunctivitis (superficial punctate keratitis from adenovirus)
    • Allergic conjunctivitis
    • Dacrocystitis, styes
    • Treatment
    • Iritis
        • Associations
        • Management: Steroids + dilate pupil + pad
    • Glaucoma
        • Closed vs open angle glaucoma
        • Management: Constrict pupil (pilocarpine) + ?Acetazolamide to inhibit aqueous production
    • Keratitis
    • Marginal ulcers – bacterial infection
    • Dendritic ulcers – viral infection
    • Scleritis
    • Pinguecula andepiscleritis
    • Watery eyes
    • Ectropion
    • Entropion
    • Rosacea-like watering eye syndrome
    • Blocked tear duct (sticky eyes in babies)
    • Dry eyes
    • Sudden loss of sight in quiet eyes
    • Retinal arteriosclerosis
    • Hypertensive retinopathy
    • Diabetic retinopathy
    • Central retinal vein occlusion
    • Retinal artery occlusion
    • Vitreous haemorrhage
    • Retinal detachment
    • Squints
    • Removing foreign bodies
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