Unilateral red eye: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
===[[Red Eye (Unilateral)|Unilateral Red Eye]]=== | |||
*[[Ruptured Globe]]^ | *[[Ruptured Globe]]^ | ||
*[[Corneal Abrasion and Foreign Body]] | *[[Corneal Abrasion and Foreign Body]] | ||
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*[[Corneal Abrasion]] | *[[Corneal Abrasion]] | ||
*[[Corneal Ulcer]]^ | *[[Corneal Ulcer]]^ | ||
*[[Herpes Zoster Ophthalmicus]] | *[[Herpes Zoster Ophthalmicus]] | ||
*Corneal erosion | *Corneal erosion | ||
*[[UV keratitis]] | *[[UV keratitis]] | ||
Revision as of 13:19, 24 May 2015
Background
Clinical Features
- Unilateral red/painful eye
Differential Diagnosis
Unilateral Red Eye
- Ruptured Globe^
- Corneal Abrasion and Foreign Body
- Conjunctival laceration
- Corneal Ulcer^
- Caustic Keratoconjunctivitis^^
- Subconjunctival Hematoma
- Traumatic Iritis
- Hypema^
- Endophthalmitis^
- Corneal Abrasion
- Corneal Ulcer^
- Herpes Zoster Ophthalmicus
- Corneal erosion
- UV keratitis
- Acute Angle Glaucoma^
- Nontraumatic iritis
- Scleritis^
- Anterior Uveitis
- Ocular foreign body
- Conjunctivitis
- Keratoconjunctivits
- Episcleritis
- Subconjunctival Hematoma
- Inflamed pingueculum
- Inflamed Pterygium
- Keratoconus
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
Diagnostic Algorythm
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
- 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 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 OR pain relief w/ tropicamide
- Foreign body
- Conjunctivitis
- 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
Managment
- By diagnosis
See Also
Source
- Rosen
- WMS Practic Guidelines 2000)