Unilateral red eye: Difference between revisions
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==Diagnosis== | ==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]]^ | |||
* 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) | |||
==Nontraumatic== | ==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) | |||
** 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) | |||
^Emergent diagnosises | ^Emergent diagnosises | ||
Revision as of 19:23, 28 April 2015
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 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/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 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
See Also
Source
- Rosen
- WMS Practic Guidelines 2000)