Red eye (by symptoms): Difference between revisions

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##[r/o penetration, tetanus, topical abx, optho referral]
##[r/o penetration, tetanus, topical abx, optho referral]
#keratoconjunctivitis
#keratoconjunctivitis
#epi/scleritis
#[[Episcleritis]]
#[[Scleritis]]
#Anterior [[Uveitis]]*
#Anterior [[Uveitis]]*
#[[Acute Angle-Closure Glaucoma]]
#[[Acute Angle-Closure Glaucoma]]

Revision as of 21:47, 14 July 2011

Caustic Contamination

  1. Caustic Keratoconjunctivitis**

Proptosis or Swelling

  1. Blepharitis
  2. Chalazion
  3. Stye (Hordeolum)
  4. dacrocystitis:inflammation lower eyelid near punctum
    1. [oral analgesia, abx, optho]
  5. inflam pseudotumor: retrobulbar inflamm
    1. [iop, systemic w/u, CT, steroids and optho]
  6. Periorbital Cellulitis*
  7. Orbital Cellulitis
  8. retrobulbar abscess/emphysema/hematoma**
    1. [iop, abx, correct coagulopathy, admit]
  9. orbital tumor*
    1. [iop, ct, optho]

Severe Pain or FB Sensation

  1. keratitis*
    1. [r/o penetration, tetanus, topical abx, optho referral]
  2. keratoconjunctivitis
  3. Episcleritis
  4. Scleritis
  5. Anterior Uveitis*
  6. Acute Angle-Closure Glaucoma
  7. hyphema*
    1. [r/o rupture, head elevation, optho]
  8. Endophthalmitis*

Focal Redness or Bulbar Conjunctiva

  1. inflamed pterygium
    1. [naphazoline/ketorolac drops, outpt referral]
  2. scleral penetration**
    1. [pain relief, antiemetic, tetanus, admit optho]
  3. subconjunctival hemorrhage
    1. [hx re coagulopathy, reassure will resolve 2-3 wks]

Purulent Discharge

  1. bacterial conjunctivitis*
    1. [peds: polymyxin B + trimethoprim ointment 10Ds OU]
    2. [adults: sulfacetamide or gent; cipro if pseudomonas; drops 10D OU]

Itching

  1. allergic conjunctivitis
    1. [naphazoline drops, oral antihistamines, outpt optho]

Topical Meds or Cosmetics

  1. contact dermatoconjunctivitis
  2. toxic conjunctivitis
    1. [irrigate, naphazoline drops, outpt for tx failure]

None of the Above

  1. Chlamydia conjunctivitis
    1. [PO erythromycin x 14D; CTX for gonorrhea]
  2. viral conjunctivitis
    1. [naphazoline or ketorolac drops]

Source

Adapted from Pani