Table of contents
- 1. Approach to Red Eye
- 2. Uveitis
- 3. Corneal Ulcer
- 4. Episcleritis
- 5. Scleritis
- 6. Glaucoma
- 6.1. Open Angle
- 6.2. Closed Angle
- 7. Conjunctivitis
Approach to Red Eye
Eyelids, Orbit & Adnexa | Cornea |
|
|
Conjunctiva | Anteriour Chamber and Uvea |
|
Uveitis
- Triad of:
- Unilateral eye pain
- Redness
- Photophobia
- On Exam:
- circumferential redness around border of sclera and cornea (corenal limbus) aka "Ciliary flush"
- Pupillary miosis
- Slit Lamp: inflammatory "Flare" cells in anterior chamber.
- Causes:
- Idiopathic
- Autoimmune (HLA-B27 arthridities)
- Infection (syphilis, TB, HSV)
- Malignancy
- Sarcoid
Corneal Ulcer
- Causes:
- Trauma
- Contact lens wear
- HSV infection
- Bacterial infection
- Connective Tissue Disorders
Episcleritis
- Symptoms:
- Redness
- Irritation
- Tearing
- NO (or minimal) Ocular Pain!
- Widespread redness, not just at the limbus.
Scleritis
- Bilateral
- Redness across entire sclera
- No ciliary flush
Glaucoma
Open Angle
Causes of 2° Open Angle Glaucoma
- Steroid induced glaucoma (4 weeks)
- Trauma
- Pseudoexfoliation Syndrome
- Pigment Dispersion Syndrome
Closed Angle
Causes of 2° Angle closure glaucoma
- Neovascular glaucoma
- Uveitis (post. Synechiae)
Conjunctivitis
- Bacterial or viral
- Bacterial: purulent, usually one sided.
- Viral: often clear discharge, redness, often spreads to other eye
- Can sometimes see a "pseudomembrane" on the led which is indicative of adenovirus
- Often hard to tell apart
- Treatment:
- Polysporin ointment (esp for kids because easy to apply.
- Apply to lower lid 1/2 inch QID until redness disappears.
Comments