Red eye (by symptoms): Difference between revisions

No edit summary
Line 6: Line 6:
#Chalazion
#Chalazion
#[[Stye (Hordeolum)]]
#[[Stye (Hordeolum)]]
#dacrocystitis:inflammation lower eyelid near punctum
#[[Dacrocystitis]]
##[oral analgesia, abx, optho]
#inflam pseudotumor: retrobulbar inflamm
#inflam pseudotumor: retrobulbar inflamm
##[iop, systemic w/u, CT, steroids and optho]
##[iop, systemic w/u, CT, steroids and optho]

Revision as of 00:55, 1 October 2013

Caustic Contamination

  1. Caustic Keratoconjunctivitis**

Proptosis or Swelling

  1. Blepharitis
  2. Chalazion
  3. Stye (Hordeolum)
  4. Dacrocystitis
  5. inflam pseudotumor: retrobulbar inflamm
    1. [iop, systemic w/u, CT, steroids and optho]
  6. Periorbital Cellulitis*
  7. Orbital Cellulitis
  8. retrobulbar abscess/emphysema/hematoma**
    1. [iop, abx, correct coagulopathy, admit]
  9. orbital tumor*
    1. [iop, ct, optho]

Unilateral Red/Painful

  1. Corneal Abrasion and Foreign Body
  2. Corneal Ulcer
  3. Foreign Body
  4. Trauma

Endophthalmitis following prior surgery, with Hypopyon or pus in anterior chamber

Less Common

  1. Periorbital/orbital Cellulitis
  2. Acute Glaucoma: corneal clouding
  3. Scleritis
  4. Uveitis (recurrent in AS): keratic precipitates
    1. photophobia, perilimbal injection
  5. Hyphema/Hypopyon
  6. Herpes Zoster Ophthalmicus (look for concurrent skin findings)
  7. Thyroid Eye Dz

Severe Pain or FB Sensation

  1. keratitis*
    1. [r/o penetration, tetanus, topical abx, optho referral]
  2. keratoconjunctivitis
  3. Episcleritis
  4. Scleritis
  5. Anterior Uveitis*
  6. Acute Angle-Closure Glaucoma
  7. Traumatic Hyphema
  8. Endophthalmitis*

Focal Redness or Bulbar Conjunctiva

  1. inflamed Pterygium
  2. scleral penetration**
    1. [pain relief, antiemetic, tetanus, admit optho]
  3. Subconjunctival Hematoma

Purulent Discharge

  1. bacterial Conjunctivitis*

Itching

  1. Allergic Conjunctivitis

Topical Meds or Cosmetics

  1. Chemical (Contact) Conjunctivitis

None of the Above

  1. Chlamydia Conjunctivitis
  2. Viral Conjunctivitis

See Also

Source

Adapted from Pani