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]]** | |||
==Proptosis or Swelling== | ==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]] | |||
*[[ocular foreign body|Foreign Body]] | |||
*[[blunt eye trauma|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== | ==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== | ==Focal Redness or Bulbar Conjunctiva== | ||
*inflamed [[Pterygium]] | |||
*scleral penetration** | |||
**[pain relief, antiemetic, tetanus, admit optho] | |||
*[[Subconjunctival Hematoma]] | |||
==Purulent Discharge== | ==Purulent Discharge== | ||
*bacterial [[Conjunctivitis]]* | |||
==Itching== | ==Itching== | ||
*Allergic [[Conjunctivitis]] | |||
==Topical Meds or Cosmetics== | ==Topical Meds or Cosmetics== | ||
*Chemical (Contact) [[Conjunctivitis]] | |||
==None of the Above== | ==None of the Above== | ||
*Chlamydia [[Conjunctivitis]] | |||
*Viral [[Conjunctivitis]] | |||
==See Also== | ==See Also== | ||
{{Eye algorithms}} | |||
[[Category: | ==References== | ||
<references/> | |||
[[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