Unilateral red eye: Difference between revisions
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== | ==Background== | ||
== | ==Clinical Features== | ||
*Unilateral red/painful eye | |||
== | ==Differential Diagnosis== | ||
{{Unilateral red eye DDX}} | |||
==Evaluation== | |||
*Evert lid and look for [[ocular foreign body|foreign body]] | |||
*Remove contacts | |||
*Photophobia suggests inflammation i.e. [[uveitis]] and [[corneal abrasion|abrasions]] | |||
*Pupil: irregular with positive sidel's suggests [[globe rupture|penetrating injury]] | |||
^^ | ===Diagnostic Algorithm=== | ||
====Traumatic==== | |||
*Obvious [[Ruptured Globe]]^ | |||
*No obvious ruptured globe | |||
**Epithelial defect | |||
***[[Corneal Abrasion and Foreign Body]] | |||
***[[Conjunctival laceration]] | |||
***[[Corneal Ulcer]]^ | |||
***[[Caustic Keratoconjunctivitis]]^^ | |||
***Occult [[Ruptured Globe]]^ | |||
****(positive Sidel's) | |||
**No defect | |||
***[[Subconjunctival Hematoma]] | |||
***[[Traumatic Iritis]] | |||
***[[Hyphema]]^ | |||
****(?occult open globe) | |||
***[[Endophthalmitis]]^ | |||
****(old occult open globe) | |||
====Nontraumatic==== | |||
*Epithelial defect | |||
**[[Corneal Abrasion]] | |||
**[[Corneal Ulcer]]^ | |||
**[[Herpes Zoster Ophthalmicus]] (dendrite) | |||
**Corneal erosion | |||
***(morning pain) | |||
**[[UV keratitis]] | |||
***(SPK) | |||
**Scleral penetration^ | |||
*No defect | |||
**No pain relief with [[tropicamide]] | |||
***[[Acute Angle Glaucoma]]^ | |||
****dilated | |||
****closed angle | |||
****inc pressure | |||
***Nontraumatic [[Iritis]] | |||
***[[Scleritis]]^ | |||
****(localized; no move Q-tip) | |||
***Anterior [[Uveitis]] | |||
****([[hypopyon]], ciliary flush) | |||
**No pain '''OR''' pain relief with [[tropicamide]] | |||
***[[ocular foreign body|Foreign body]] | |||
***[[Conjunctivitis]] | |||
***[[Keratoconjunctivitis]] | |||
***[[Episcleritis]] | |||
****(localized; move with Q-tip) | |||
**Non-uptake finding (no pain/pain relief with tropicamide) | |||
***[[Subconjunctival Hematoma]] | |||
***Inflamed [[pinguecula]] | |||
***Inflamed [[Pterygium]] | |||
***Keratoconus (protrude) | |||
^Emergent diagnoses | |||
^^Critical diagnoses | |||
=== | ==Management== | ||
*By diagnosis | |||
==See Also== | ==See Also== | ||
{{Eye algorithms}} | |||
==References== | |||
<references/> | |||
[[Category: | [[Category:Ophthalmology]] | ||
[[Category:Symptoms]] |
Latest revision as of 15:45, 23 October 2019
Background
Clinical Features
- Unilateral red/painful eye
Differential Diagnosis
Unilateral red eye
- Nontraumatic
- Acute angle-closure glaucoma^
- Anterior uveitis
- Conjunctivitis
- Corneal erosion
- Corneal ulcer^
- Endophthalmitis^
- Episcleritis
- Herpes zoster ophthalmicus
- Inflamed pinguecula
- Inflamed pterygium
- Keratoconjunctivitis
- Keratoconus
- Nontraumatic iritis
- Scleritis^
- Subconjunctival hemorrhage
- Orbital trauma
- Caustic keratoconjunctivitis^^
- Corneal abrasion, Corneal laceration
- Conjunctival hemorrhage
- Conjunctival laceration
- Globe rupture^
- Hemorrhagic chemosis
- Lens dislocation
- Ocular foreign body
- Posterior vitreous detachment
- Retinal detachment
- Retrobulbar hemorrhage
- Traumatic hyphema
- Traumatic iritis
- Traumatic mydriasis
- Traumatic optic neuropathy
- Vitreous detachment
- Vitreous hemorrhage
- Ultraviolet keratitis
^Emergent diagnoses ^^Critical diagnoses
Evaluation
- Evert lid and look for foreign body
- Remove contacts
- Photophobia suggests inflammation i.e. uveitis and abrasions
- Pupil: irregular with positive sidel's suggests penetrating injury
Diagnostic Algorithm
Traumatic
- Obvious Ruptured Globe^
- No obvious ruptured globe
- Epithelial defect
- Corneal Abrasion and Foreign Body
- Conjunctival laceration
- Corneal Ulcer^
- Caustic Keratoconjunctivitis^^
- Occult Ruptured Globe^
- (positive Sidel's)
- No defect
- Subconjunctival Hematoma
- Traumatic Iritis
- Hyphema^
- (?occult open globe)
- Endophthalmitis^
- (old occult open globe)
- Epithelial defect
Nontraumatic
- Epithelial defect
- Corneal Abrasion
- Corneal Ulcer^
- Herpes Zoster Ophthalmicus (dendrite)
- Corneal erosion
- (morning pain)
- UV keratitis
- (SPK)
- Scleral penetration^
- No defect
- No pain relief with tropicamide
- Acute Angle Glaucoma^
- dilated
- closed angle
- inc pressure
- Nontraumatic Iritis
- Scleritis^
- (localized; no move Q-tip)
- Anterior Uveitis
- (hypopyon, ciliary flush)
- Acute Angle Glaucoma^
- No pain OR pain relief with tropicamide
- Foreign body
- Conjunctivitis
- Keratoconjunctivitis
- Episcleritis
- (localized; move with Q-tip)
- Non-uptake finding (no pain/pain relief with tropicamide)
- Subconjunctival Hematoma
- Inflamed pinguecula
- Inflamed Pterygium
- Keratoconus (protrude)
- No pain relief with tropicamide
^Emergent diagnoses
^^Critical diagnoses
Management
- By diagnosis
See Also
Eye Algorithms
- Red eye
- Periorbital swelling
- Acute vision loss (noninflamed)
- Acute onset flashers and floaters
- Painful eyes with normal exam