Red eye (by symptoms): Difference between revisions
 
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==Caustic Contamination==
==Caustic Contamination==
#[[Caustic Keratoconjunctivitis]]**
*[[Caustic Keratoconjunctivitis]]**


==Proptosis or Swelling==
==Proptosis or Swelling==
#[[Blepharitis]]
*[[Blepharitis]]
#chalazion
*[[Chalazion]]
#stye (hordeolum)
*[[Stye (Hordeolum)]]
##[warm compress 15min 4xday, massage, optho if fails]
*[[Dacryocystitis]]
#dacrocystitis:inflammation lower eyelid near punctum
*inflammatory pseudotumor: retrobulbar inflammation
##[oral analgesia, abx, optho]
**(check intraocular pressure, work up for systemic disease, CT orbits, steroids and optho consult)
#inflam pseudotumor: retrobulbar inflamm
*[[Periorbital Cellulitis]]*
##[iop, systemic w/u, CT, steroids and optho]
*[[Orbital Cellulitis]]
#peri/orbital cellulitis*: orbital w/ systemic sx
*[[Retrobulbar hematoma]]/abscess/emphysema
##[CTX/Vanco, cx, CT, admit]
*orbital tumor*
#retrobulbar abscess/emphysema/hematoma**
**(check intraocular pressure, CT orbits, optho consult)
##[iop, abx, correct coagulopathy, admit]
 
#orbital tumor*
==Unilateral Red/Painful==
##[iop, ct, optho]
*[[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*
*keratitis*
##[r/o penetration, tetanus, topical abx, optho referral]
**[rule out penetration, tetanus, topical antibiotics, optho referral]
#keratoconjunctivitis
*[[Keratoconjunctivitis]]
#epi/scleritis
*[[Episcleritis]]
#anterior uveitis*
*[[Scleritis]]
##[optho recs]
*Anterior [[Uveitis]]*
#acute angle-closure glaucoma**
*[[Acute Angle-Closure Glaucoma]]
##[iop, timolol, apraclonidine, prednisolone, pilocarpine, mannitol 2g/kg IV]
*[[Traumatic Hyphema]]
#hyphema*
*[[Endophthalmitis]]*
##[r/o rupture, head elevation, optho]
 
#endophthalmitis*
##[CTX, vanco; admit to optho]
==Focal Redness or Bulbar Conjunctiva==
==Focal Redness or Bulbar Conjunctiva==
#inflamed pterygium
*inflamed [[Pterygium]]
##[naphazoline/ketorolac drops, outpt referral]
*scleral penetration**
#scleral penetration**
**[pain relief, antiemetic, tetanus, admit optho]
##[pain relief, antiemetic, tetanus, admit optho]
*[[Subconjunctival Hematoma]]
#subconjunctival hemorrhage
 
##[hx re coagulopathy, reassure will resolve 2-3 wks]
==Purulent Discharge==
==Purulent Discharge==
#bacterial conjunctivitis*
*bacterial [[Conjunctivitis]]*
##[peds: polymyxin B + trimethoprim ointment 10Ds OU]
##[adults: sulfacetamide or gent; cipro if pseudomonas; drops 10D OU]


==Itching==
==Itching==
#allergic conjunctivitis
*Allergic [[Conjunctivitis]]
##[naphazoline drops, oral antihistamines, outpt optho]


==Topical Meds or Cosmetics==
==Topical Meds or Cosmetics==
#contact dermatoconjunctivitis
*Chemical (Contact) [[Conjunctivitis]]
#toxic conjunctivitis
##[irrigate, naphazoline drops, outpt for tx failure]


==None of the Above==
==None of the Above==
#Chlamydia conjunctivitis
*Chlamydia [[Conjunctivitis]]
##[PO erythromycin x 14D; CTX for gonorrhea]
*Viral [[Conjunctivitis]]
#viral conjunctivitis
##[naphazoline or ketorolac drops]


==Source==
==See Also==
Adapted from Pani
{{Eye algorithms}}


[[Category:Ophtho]]
==References==
<references/>
[[Category:Ophthalmology]]
[[Category:Symptoms]]

Latest revision as of 17:01, 5 October 2019

Caustic Contamination

Proptosis or Swelling

Unilateral Red/Painful

Less Common

Severe Pain or FB Sensation

Focal Redness or Bulbar Conjunctiva

Purulent Discharge

Itching

Topical Meds or Cosmetics

None of the Above

See Also

Eye Algorithms

References

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