Opthalmology

    Approach to Red Eye

    Eyelids, Orbit & Adnexa Cornea
    • Blepharitis
    • Dacryocystitis
    • Dacryoadenitis
    • Preceptal & Orbital Cellulitis
    • Abrasion
    • Ulcer
    • Keratitis
      • Toxic, Eye Injury, UV
      • Herpes Simplex (HSV)
      • Herpes Zoster (HZV)
    Conjunctiva Anteriour Chamber and Uvea
    • Subconjunctival Hemorrhage
    • Conjunctivitis
      • Bacterial, Viral, Allergic
    • Pingueculum, Pterigium
     

     

     

    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.
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