Red eye (peds)

Differential Diagnosis

• Corneal Abrasion and Foreign Body
• Corneal infection (consider herpes/chlamydia)

Diagnosis

EXAM: Fluorescein to rule out corneal abrasion and herpes keratitis

Management

Infectious: oral erythromycin + ceftriaxone (for N. gonorrhoea)

Conjunctivitis + respiratory symptoms/abnormal CXR or otitis media: (if younger than 3 mos) oral macrolide

See Also

• Eye Algorithm (Main)
• Red Eye (Unilateral)
• Red Eye (by Sx)
• Neonatal conjunctivitis

References

Adapted from Pani