Red eye (by symptoms): Difference between revisions
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==Background== | |||
[[File:Schematic diagram of the human eye en.png|thumb|Eye anatomy.]] | |||
*This page describes a general approach to the complaint of eye redness by symptoms | |||
==Caustic Contamination== | ==Caustic Contamination== | ||
*[[Caustic Keratoconjunctivitis]]** | *[[Caustic Keratoconjunctivitis]]** | ||
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==Proptosis or Swelling== | ==Proptosis or Swelling== | ||
*[[Blepharitis]] | *[[Blepharitis]] | ||
*Chalazion | *[[Chalazion]] | ||
*[[Stye (Hordeolum)]] | *[[Stye (Hordeolum)]] | ||
*[[ | *[[Dacryocystitis]] | ||
* | *inflammatory pseudotumor: retrobulbar inflammation | ||
** | **(check intraocular pressure, work up for systemic disease, CT orbits, steroids and optho consult) | ||
*[[Periorbital Cellulitis]]* | *[[Periorbital Cellulitis]]* | ||
*[[Orbital Cellulitis]] | *[[Orbital Cellulitis]] | ||
* | *[[Retrobulbar hematoma]]/abscess/emphysema | ||
*orbital tumor* | *orbital tumor* | ||
** | **(check intraocular pressure, CT orbits, optho consult) | ||
==Unilateral Red/Painful== | ==Unilateral Red/Painful== | ||
*[[Corneal Abrasion and Foreign Body]] | *[[Corneal Abrasion and Foreign Body]] | ||
*[[Corneal Ulcer]] | *[[Corneal Ulcer]] | ||
*Foreign Body | *[[ocular foreign body|Foreign Body]] | ||
*Trauma | *[[blunt eye trauma|Trauma]] | ||
*[[Endophthalmitis]] following prior surgery, with [[hypopyon]] or pus in anterior chamber | |||
Endophthalmitis following prior surgery, with | |||
====Less Common==== | ====Less Common==== | ||
*Periorbital/orbital | *[[Periorbital cellulitis]]/[[orbital cellulitis]] | ||
*Acute Glaucoma: corneal clouding | *Acute [[Glaucoma]]: corneal clouding | ||
*[[Scleritis]] | *[[Scleritis]] | ||
*[[Uveitis]] (recurrent in AS): keratic precipitates | *[[Uveitis]] (recurrent in AS): keratic precipitates | ||
**photophobia, perilimbal injection | **photophobia, perilimbal injection | ||
*Hyphema/Hypopyon | *[[Hyphema]]/[[Hypopyon]] | ||
*[[Herpes Zoster Ophthalmicus]] (look for concurrent skin findings) | *[[Herpes Zoster Ophthalmicus]] (look for concurrent skin findings) | ||
*Thyroid | *[[Thyroid]] disease | ||
==Severe Pain or FB Sensation== | ==Severe Pain or FB Sensation== | ||
*keratitis* | *keratitis* | ||
**[ | **[rule out penetration, tetanus, topical antibiotics, optho referral] | ||
* | *[[Keratoconjunctivitis]] | ||
*[[Episcleritis]] | *[[Episcleritis]] | ||
*[[Scleritis]] | *[[Scleritis]] | ||
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==See Also== | ==See Also== | ||
{{Eye algorithms}} | |||
==References== | ==References== | ||
<references/> | |||
[[Category: | [[Category:Ophthalmology]] | ||
[[Category:Symptoms]] | |||
Latest revision as of 18:12, 4 February 2026
Background
- This page describes a general approach to the complaint of eye redness by symptoms
Caustic Contamination
Proptosis or Swelling
- Blepharitis
- Chalazion
- Stye (Hordeolum)
- Dacryocystitis
- inflammatory pseudotumor: retrobulbar inflammation
- (check intraocular pressure, work up for systemic disease, CT orbits, steroids and optho consult)
- Periorbital Cellulitis*
- Orbital Cellulitis
- Retrobulbar hematoma/abscess/emphysema
- orbital tumor*
- (check intraocular pressure, CT orbits, optho consult)
Unilateral Red/Painful
- Corneal Abrasion and Foreign Body
- Corneal Ulcer
- Foreign Body
- Trauma
- Endophthalmitis following prior surgery, with hypopyon or pus in anterior chamber
Less Common
- Periorbital cellulitis/orbital cellulitis
- Acute Glaucoma: corneal clouding
- Scleritis
- Uveitis (recurrent in AS): keratic precipitates
- photophobia, perilimbal injection
- Hyphema/Hypopyon
- Herpes Zoster Ophthalmicus (look for concurrent skin findings)
- Thyroid disease
Severe Pain or FB Sensation
- keratitis*
- [rule out penetration, tetanus, topical antibiotics, optho referral]
- Keratoconjunctivitis
- Episcleritis
- Scleritis
- Anterior Uveitis*
- Acute Angle-Closure Glaucoma
- Traumatic Hyphema
- Endophthalmitis*
Focal Redness or Bulbar Conjunctiva
- inflamed Pterygium
- scleral penetration**
- [pain relief, antiemetic, tetanus, admit optho]
- Subconjunctival Hematoma
Purulent Discharge
- bacterial Conjunctivitis*
Itching
- Allergic Conjunctivitis
Topical Meds or Cosmetics
- Chemical (Contact) Conjunctivitis
None of the Above
- Chlamydia Conjunctivitis
- Viral Conjunctivitis
See Also
Eye Algorithms
- Red eye
- Periorbital swelling
- Acute vision loss (noninflamed)
- Acute onset flashers and floaters
- Painful eyes with normal exam
- Neonatal eye problems