The Red Eye
RED EYE HISTORY
Serious Symptoms
• ACUITY
• PAIN
• PHOTOPHOBIA
RED EYE HISTORY
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Discharge (character and quantity)
Itch, scratch, burn
Trauma, exposure to particles
Associated URI, Sick Contacts
EXAM
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ACUITY
INJECTION
PUPIL
LIDS
FLUORESCEIN
FIRMNESS
GONIOSCOPY
OPHTHANE
LID FOLLICLES - CHLAMYDIA OR NOT?
HYPOPYON
Subconjunctival hemorrhage
No good slide
completely benign
normal acuity, etc
REVIEW
• Acuity, pain, photophobia in association
with red eye are worrisome
• Check conjunctivae, acuity, pupil, cornea
• Often hard to distinguish causes of
conjunctivitis - ok to use abx when in doubt
• Conjunctivitis is contagious
• Acute glaucoma - vomiting patient with
dilated pupil