Unilateral red eye

Trauma

A. Obvious open globe*

B. No obvious open globe

    1. Epithelial defect

         i. Corneal abrasion

         ii. Corneal ulcer*

         iii. Caustic keratoconjunctivitis**

         iv. Occult open globe*

         (positive Sidel's)

    2. No defect

         i. Subconjunct hem

         ii. Traumatic iritis

         iii. Hypema*

         (?occult open globe)

         iv. Endophthalmitis*

         (old occult open globe)

Nontraumatic

A. Epithelial defect

    1. Corneal abrasion

    2. Corneal ulcer* (above)

    3. HSV conjunct (dendrite)

    4. Corneal erosion

    (morning pain)

    5. UV/welders keratitis

    (SPK)

    6. Scleral penetration*

B. No defect

    1. No pain relief w/ tropicamide

         i. Acute angle glaucoma*

              -dilated

              -closed angle

              -inc pressure

         ii. Nontraumatic Iritis

         iii. Scleritis*

         (localized; no move Q-tip)

         iv. Anterior uveitis

         (hypopyon, cilliary flush)

    2. No pain/pain relief w/ tropicamide

         i. Foreign body

         ii. Conjunctivitis

              a. Viral

              b. Bacterial*

              (purulent-->?GC)

              c. Allergic

              d. Contact

              e. Toxic

              f. Chlamydial

         iii. Keratoconjunctivits

         iv. Episcleritis

         (localized; move w/ Q-tip)

    3. Non-uptake finding

    (no pain/pain relief w/ tropicamd)

         i. Subconjunct hemorr

         ii. Inflamed pingueculum

         iii. Inflamed pterygium

         iv. Keratoconus (protrude)

• Emergent diagnosises

• • Critical diagnosises

See Also

Optho: Corneal Abrasion vs Ulcer

Optho: Red Eye (Unilateral) 2

Optho: Red Eye (Bilateral)

Optho: Red Eye (by Sx)

Source

3/20/06 DONALDSON (adapted from Rosen, WMS Practic Guidelines 2000)