Red eye (by symptoms): Difference between revisions
Line 21: | Line 21: | ||
##[r/o penetration, tetanus, topical abx, optho referral] | ##[r/o penetration, tetanus, topical abx, optho referral] | ||
#keratoconjunctivitis | #keratoconjunctivitis | ||
# | #[[Episcleritis]] | ||
#[[Scleritis]] | |||
#Anterior [[Uveitis]]* | #Anterior [[Uveitis]]* | ||
#[[Acute Angle-Closure Glaucoma]] | #[[Acute Angle-Closure Glaucoma]] |
Revision as of 21:47, 14 July 2011
Caustic Contamination
Proptosis or Swelling
- Blepharitis
- Chalazion
- Stye (Hordeolum)
- dacrocystitis:inflammation lower eyelid near punctum
- [oral analgesia, abx, optho]
- inflam pseudotumor: retrobulbar inflamm
- [iop, systemic w/u, CT, steroids and optho]
- Periorbital Cellulitis*
- Orbital Cellulitis
- 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
- Episcleritis
- Scleritis
- Anterior Uveitis*
- Acute Angle-Closure Glaucoma
- hyphema*
- [r/o rupture, head elevation, optho]
- Endophthalmitis*
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
- allergic conjunctivitis
- [naphazoline drops, oral antihistamines, outpt optho]
Topical Meds or Cosmetics
- contact dermatoconjunctivitis
- toxic conjunctivitis
- [irrigate, naphazoline drops, outpt for tx failure]
None of the Above
- Chlamydia conjunctivitis
- [PO erythromycin x 14D; CTX for gonorrhea]
- viral conjunctivitis
- [naphazoline or ketorolac drops]
Source
Adapted from Pani