Unilateral red eye: Difference between revisions
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==Diagnosis== | |||
#Evert lens and look for foreign body | |||
#Remove contacts | |||
#Photophobia suggests inflammation i.e. uveitis and abrasions | |||
#Pupil: irregular with positive sidel's suggests penetrating injury | |||
==Trauma== | ==Trauma== | ||
# Obvious [[Ruptured Globe]]^ | # Obvious [[Ruptured Globe]]^ | ||
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^^Critical diagnosises | ^^Critical diagnosises | ||
===Painful=== | |||
#Corneal Abrasion | |||
#Corneal Ulcer | |||
#Foreign Body | |||
#Trauma | |||
Endophthalmitis following prior surgery, with Hypopyon or pus in anterior chamber | |||
====Less Common==== | |||
#Periorbital/orbital Cellulitis | |||
#Acute Glaucoma: corneal clouding | |||
#Scleritis | |||
#Uveitis (recurrent in AS): keratic precipitates | |||
##photophobia, perilimbal injection | |||
#Hyphema/Hypopyon | |||
#Shingles (look for concurrent skin findings) | |||
#Thyroid Eye Dz | |||
===Painless=== | |||
#Conjunctivitis | |||
#Subconjunctival Hemorrhage: h/o trauma or valsalva, DM, HTN | |||
#Episcleritis | |||
#Allergic Reaction | |||
==See Also== | ==See Also== | ||
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==Source== | ==Source== | ||
DONALDSON (adapted from Rosen, WMS Practic Guidelines 2000) | |||
Pani | |||
[[Category:Ophtho]] | [[Category:Ophtho]] |
Revision as of 22:19, 14 July 2011
Diagnosis
- Evert lens and look for foreign body
- Remove contacts
- Photophobia suggests inflammation i.e. uveitis and abrasions
- Pupil: irregular with positive sidel's suggests penetrating injury
Trauma
- Obvious Ruptured Globe^
- No obvious ruptured globe
- Epithelial defect
- Corneal Abrasion
- Corneal Ulcer^
- Caustic Keratoconjunctivitis^^
- Occult Ruptured Globe^
- (positive Sidel's)
- No defect
- Subconjunctival Hematoma
- Traumatic Iritis
- Hypema^
- (?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/welders keratitis
- (SPK)
- Scleral penetration^
- No defect
- No pain relief w/ tropicamide
- Acute Angle Glaucoma^
- dilated
- closed angle
- inc pressure
- Nontraumatic Iritis
- Scleritis^
- (localized; no move Q-tip)
- Anterior Uveitis
- (hypopyon, cilliary flush)
- Acute Angle Glaucoma^
- No pain/pain relief w/ tropicamide
- Foreign body
- Conjunctivitis
- Viral
- Bacterial^
- (purulent-->?GC)
- Allergic
- Contact
- Toxic
- Chlamydial
- Keratoconjunctivits
- Episcleritis
- (localized; move w/ Q-tip)
- Non-uptake finding (no pain/pain relief w/ tropicamd)
- Subconjunctival Hematoma
- Inflamed pingueculum
- Inflamed Pterygium
- Keratoconus (protrude)
- No pain relief w/ tropicamide
^Emergent diagnosises
^^Critical diagnosises
Painful
- Corneal Abrasion
- Corneal Ulcer
- Foreign Body
- Trauma
Endophthalmitis following prior surgery, with Hypopyon or pus in anterior chamber
Less Common
- Periorbital/orbital Cellulitis
- Acute Glaucoma: corneal clouding
- Scleritis
- Uveitis (recurrent in AS): keratic precipitates
- photophobia, perilimbal injection
- Hyphema/Hypopyon
- Shingles (look for concurrent skin findings)
- Thyroid Eye Dz
Painless
- Conjunctivitis
- Subconjunctival Hemorrhage: h/o trauma or valsalva, DM, HTN
- Episcleritis
- Allergic Reaction
See Also
Source
DONALDSON (adapted from Rosen, WMS Practic Guidelines 2000)
Pani