Red eye (by symptoms): Difference between revisions

Latest revision as of 17:01, 5 October 2019

Caustic Contamination

Caustic Keratoconjunctivitis**

Proptosis or Swelling

Blepharitis
Chalazion
Stye (Hordeolum)
Dacryocystitis
inflammatory pseudotumor: retrobulbar inflammation
- (check intraocular pressure, work up for systemic disease, CT orbits, steroids and optho consult)
Periorbital Cellulitis*
Orbital Cellulitis
Retrobulbar hematoma/abscess/emphysema
orbital tumor*
- (check intraocular pressure, CT orbits, optho consult)

Unilateral Red/Painful

Corneal Abrasion and Foreign Body
Corneal Ulcer
Foreign Body
Trauma
Endophthalmitis following prior surgery, with hypopyon or pus in anterior chamber

Less Common

Periorbital cellulitis/orbital cellulitis
Acute Glaucoma: corneal clouding
Scleritis
Uveitis (recurrent in AS): keratic precipitates
- photophobia, perilimbal injection
Hyphema/Hypopyon
Herpes Zoster Ophthalmicus (look for concurrent skin findings)
Thyroid disease

Severe Pain or FB Sensation

keratitis*
- [rule out penetration, tetanus, topical antibiotics, optho referral]
Keratoconjunctivitis
Episcleritis
Scleritis
Anterior Uveitis*
Acute Angle-Closure Glaucoma
Traumatic Hyphema
Endophthalmitis*

Focal Redness or Bulbar Conjunctiva

inflamed Pterygium
scleral penetration**
- [pain relief, antiemetic, tetanus, admit optho]
Subconjunctival Hematoma

Purulent Discharge

bacterial Conjunctivitis*

Itching

Allergic Conjunctivitis

Topical Meds or Cosmetics

Chemical (Contact) Conjunctivitis

None of the Above

Chlamydia Conjunctivitis
Viral Conjunctivitis

References

Authors:

@@ Line 1: / Line 1: @@
 ==Caustic Contamination==
-#caustic keratoconjunctivitis**===
+*[[Caustic Keratoconjunctivitis]]**
-##[anesth/irrigation until ph 7/optho]
-##...alkaline exp requires min 4L over 40min
-==PROPTOSIS or EXT SWELLING==
+==Proptosis or Swelling==
-#blepharitis
+*[[Blepharitis]]
-##[warm compresses 15min 4x/day, scrub w/ mild shampoo BID, outpt optho]
+*[[Chalazion]]
-#chalazion
+*[[Stye (Hordeolum)]]
-#stye (hordeolum)
+*[[Dacryocystitis]]
-##[warm compress 15min 4xday, massage, optho if fails]
+*inflammatory pseudotumor: retrobulbar inflammation
-#dacrocystitis:inflammation lower eyelid near punctum
+**(check intraocular pressure, work up for systemic disease, CT orbits, steroids and optho consult)
-##[oral analgesia, abx, optho]
+*[[Periorbital Cellulitis]]*
-#inflam pseudotumor: retrobulbar inflamm
+*[[Orbital Cellulitis]]
-##[iop, systemic w/u, CT, steroids and optho]
+*[[Retrobulbar hematoma]]/abscess/emphysema
-#peri/orbital cellulitis*: orbital w/ systemic sx
+*orbital tumor*
-##[CTX/Vanco, cx, CT, admit]
+**(check intraocular pressure, CT orbits, optho consult)
-#retrobulbar abscess/emphysema/hematoma**
-##[iop, abx, correct coagulopathy, admit]
-#orbital tumor*
-##[iop, ct, optho]
-==SEVERE PAIN or FB SENSATION==
-#keratitis*
-##[r/o penetration, tetanus, topical abx, optho referral]
-#keratoconjunctivitis
-#epi/scleritis
-#anterior uveitis*
-##[optho recs]
-#acute angle-closure glaucoma**
-##[iop, timolol, apraclonidine, prednisolone, pilocarpine, mannitol 2g/kg IV]
-#hyphema*
-##[r/o rupture, head elevation, optho]
-#endophthalmitis*
-##[CTX, vanco; admit to optho]
-==FOCAL REDNESS or BULBAR CONJUNCTIVA==
-#inflamed pterygium
-##[naphazoline/ketorolac drops, outpt referral]
-#scleral penetration**
-##[pain relief, antiemetic, tetanus, admit optho]
-#subconjunctival hemorrhage
-##[hx re coagulopathy, reassure will resolve 2-3 wks]
-==PURULENT DISCHARGE==
-#bacterial conjunctivitis*
-##[peds: polymyxin B + trimethoprim ointment 10Ds OU]
-##[adults: sulfacetamide or gent; cipro if pseudomonas; drops 10D OU]
-==ITCHING SENSATION==
+==Unilateral Red/Painful==
-#allergic conjunctivitis
+*[[Corneal Abrasion and Foreign Body]]
-##[naphazoline drops, oral antihistamines, outpt optho]
+*[[Corneal Ulcer]]
+*[[ocular foreign body|Foreign Body]]
+*[[blunt eye trauma|Trauma]]
+*[[Endophthalmitis]] following prior surgery, with [[hypopyon]] or pus in anterior chamber
-==TOPICAL MEDS or COSMETICS==
+====Less Common====
-#contact dermatoconjunctivitis
+*[[Periorbital cellulitis]]/[[orbital cellulitis]]
-#toxic conjunctivitis
+*Acute [[Glaucoma]]: corneal clouding
-##[irrigate, naphazoline drops, outpt for tx failure]
+*[[Scleritis]]
+*[[Uveitis]] (recurrent in AS): keratic precipitates
+**photophobia, perilimbal injection
+*[[Hyphema]]/[[Hypopyon]]
+*[[Herpes Zoster Ophthalmicus]] (look for concurrent skin findings)
+*[[Thyroid]] disease
-==IF NONE OF ABOVE: (consider)==
+==Severe Pain or FB Sensation==
-#Chlamydia conjunctivitis
+*keratitis*
-##[PO erythromycin x 14D; CTX for gonorrhea]
+**[rule out penetration, tetanus, topical antibiotics, optho referral]
-#viral conjunctivitis
+*[[Keratoconjunctivitis]]
-##[naphazoline or ketorolac drops]
+*[[Episcleritis]]
+*[[Scleritis]]
+*Anterior [[Uveitis]]*
+*[[Acute Angle-Closure Glaucoma]]
+*[[Traumatic Hyphema]]
+*[[Endophthalmitis]]*
-==Source==
+==Focal Redness or Bulbar Conjunctiva==
-Adapted from Pani
+*inflamed [[Pterygium]]
+*scleral penetration**
+**[pain relief, antiemetic, tetanus, admit optho]
+*[[Subconjunctival Hematoma]]
-[[Category:Ophtho]]
+==Purulent Discharge==
+*bacterial [[Conjunctivitis]]*
+==Itching==
+*Allergic [[Conjunctivitis]]
+==Topical Meds or Cosmetics==
+*Chemical (Contact) [[Conjunctivitis]]
+==None of the Above==
+*Chlamydia [[Conjunctivitis]]
+*Viral [[Conjunctivitis]]
+==See Also==
+{{Eye algorithms}}
+==References==
+<references/>
+[[Category:Ophthalmology]]
+[[Category:Symptoms]]

Red eye (by symptoms): Difference between revisions

Latest revision as of 17:01, 5 October 2019

Contents

Caustic Contamination

Proptosis or Swelling

Unilateral Red/Painful

Less Common

Severe Pain or FB Sensation

Focal Redness or Bulbar Conjunctiva

Purulent Discharge

Itching

Topical Meds or Cosmetics

None of the Above

See Also

Eye Algorithms

References