Unilateral red eye: Difference between revisions

Latest revision as of 15:45, 23 October 2019

Background

Clinical Features

Unilateral red/painful eye

Differential Diagnosis

Unilateral red eye

Nontraumatic
- Acute angle-closure glaucoma^
- Anterior uveitis
- Conjunctivitis
- Corneal erosion
- Corneal ulcer^
- Endophthalmitis^
- Episcleritis
- Herpes zoster ophthalmicus
- Inflamed pinguecula
- Inflamed pterygium
- Keratoconjunctivitis
- Keratoconus
- Nontraumatic iritis
- Scleritis^
- Subconjunctival hemorrhage
Orbital trauma

^Emergent diagnoses ^^Critical diagnoses

Evaluation

Evert lid and look for foreign body
Remove contacts
Photophobia suggests inflammation i.e. uveitis and abrasions
Pupil: irregular with positive sidel's suggests penetrating injury

Diagnostic Algorithm

Traumatic

Obvious Ruptured Globe^
No obvious ruptured globe
- Epithelial defect
  - Corneal Abrasion and Foreign Body
  - Conjunctival laceration
  - Corneal Ulcer^
  - Caustic Keratoconjunctivitis^^
  - Occult Ruptured Globe^
    - (positive Sidel's)
- No defect
  - Subconjunctival Hematoma
  - Traumatic Iritis
  - Hyphema^
    - (?occult open globe)
  - Endophthalmitis^
    - (old occult open globe)

Nontraumatic

Epithelial defect
- Corneal Abrasion
- Corneal Ulcer^
- Herpes Zoster Ophthalmicus (dendrite)
- Corneal erosion
  - (morning pain)
- UV keratitis
  - (SPK)
- Scleral penetration^
No defect
- No pain relief with tropicamide
  - Acute Angle Glaucoma^
    - dilated
    - closed angle
    - inc pressure
  - Nontraumatic Iritis
  - Scleritis^
    - (localized; no move Q-tip)
  - Anterior Uveitis
    - (hypopyon, ciliary flush)
- No pain OR pain relief with tropicamide
  - Foreign body
  - Conjunctivitis
  - Keratoconjunctivitis
  - Episcleritis
    - (localized; move with Q-tip)
- Non-uptake finding (no pain/pain relief with tropicamide)
  - Subconjunctival Hematoma
  - Inflamed pinguecula
  - Inflamed Pterygium
  - Keratoconus (protrude)

^Emergent diagnoses

^^Critical diagnoses

Management

By diagnosis

References

Authors:

@@ Line 1: / Line 1: @@
-==Diagnosis==
+==Background==
-#Evert lens and look for foreign body
-#Remove contacts
-#Photophobia suggests inflammation i.e. uveitis and abrasions
-#Pupil: irregular with positive sidel's suggests penetrating injury
-==Trauma==
+==Clinical Features==
-# Obvious [[Ruptured Globe]]^
+*Unilateral red/painful eye
-# No obvious ruptured globe
-## Epithelial defect
-### [[Corneal Abrasion and Foreign Body]]
-### [[Corneal Ulcer]]^
-### [[Caustic Keratoconjunctivitis]]^^
-### Occult [[Ruptured Globe]]^
-####(positive Sidel's)
-## No defect
-### [[Subconjunctival Hematoma]]
-### [[Traumatic Iritis]]
-### Hypema^
-####(?occult open globe)
-### [[Endophthalmitis]]^
-#### (old occult open globe)
-==Nontraumatic==
+==Differential Diagnosis==
-# Epithelial defect
+{{Unilateral red eye DDX}}
-## [[Corneal Abrasion]]
-## [[Corneal Ulcer]]^
-## [[Herpes Zoster Ophthalmicus]] (dendrite)
-## Corneal erosion
-###(morning pain)
-## UV/welders keratitis
-### (SPK)
-## Scleral penetration^
-# No defect
-## No pain relief w/ tropicamide
-### [[Acute Angle Glaucoma]]^
-####dilated
-####closed angle
-####inc pressure
-### Nontraumatic Iritis
-### [[Scleritis]]^
-####(localized; no move Q-tip)
-### Anterior [[Uveitis]]
-####(hypopyon, cilliary flush)
-## No pain OR pain relief w/ tropicamide
-### Foreign body
-### [[Conjunctivitis]]
-### Keratoconjunctivits
-### [[Episcleritis]]
-####(localized; move w/ Q-tip)
-## Non-uptake finding (no pain/pain relief w/ tropicamd)
-### [[Subconjunctival Hematoma]]
-### Inflamed pingueculum
-### Inflamed [[Pterygium]]
-### Keratoconus (protrude)
-^Emergent diagnosises
+==Evaluation==
+*Evert lid and look for [[ocular foreign body|foreign body]]
+*Remove contacts
+*Photophobia suggests inflammation i.e. [[uveitis]] and [[corneal abrasion|abrasions]]
+*Pupil: irregular with positive sidel's suggests [[globe rupture|penetrating injury]]
-^^Critical diagnosises
+===Diagnostic Algorithm===
+====Traumatic====
+*Obvious [[Ruptured Globe]]^
+*No obvious ruptured globe
+**Epithelial defect
+***[[Corneal Abrasion and Foreign Body]]
+***[[Conjunctival laceration]]
+***[[Corneal Ulcer]]^
+***[[Caustic Keratoconjunctivitis]]^^
+***Occult [[Ruptured Globe]]^
+****(positive Sidel's)
+**No defect
+***[[Subconjunctival Hematoma]]
+***[[Traumatic Iritis]]
+***[[Hyphema]]^
+****(?occult open globe)
+***[[Endophthalmitis]]^
+****(old occult open globe)
+====Nontraumatic====
+*Epithelial defect
+**[[Corneal Abrasion]]
+**[[Corneal Ulcer]]^
+**[[Herpes Zoster Ophthalmicus]] (dendrite)
+**Corneal erosion
+***(morning pain)
+**[[UV keratitis]]
+***(SPK)
+**Scleral penetration^
+*No defect
+**No pain relief with [[tropicamide]]
+***[[Acute Angle Glaucoma]]^
+****dilated
+****closed angle
+****inc pressure
+***Nontraumatic [[Iritis]]
+***[[Scleritis]]^
+****(localized; no move Q-tip)
+***Anterior [[Uveitis]]
+****([[hypopyon]], ciliary flush)
+**No pain '''OR''' pain relief with [[tropicamide]]
+***[[ocular foreign body|Foreign body]]
+***[[Conjunctivitis]]
+***[[Keratoconjunctivitis]]
+***[[Episcleritis]]
+****(localized; move with Q-tip)
+**Non-uptake finding (no pain/pain relief with tropicamide)
+***[[Subconjunctival Hematoma]]
+***Inflamed [[pinguecula]]
+***Inflamed [[Pterygium]]
+***Keratoconus (protrude)
+^Emergent diagnoses
+^^Critical diagnoses
+==Management==
+*By diagnosis
 ==See Also==
-*[[Eye Algorithm (Main)]]
+{{Eye algorithms}}
-*[[Corneal Abrasion vs Ulcer]]
-*[[Red Eye (Bilateral)]]
-*[[Red Eye (by Sx)]]
-==Source==
+==References==
-DONALDSON (adapted from Rosen, WMS Practic Guidelines 2000)
+<references/>
-[[Category:Ophtho]]
+[[Category:Ophthalmology]]
+[[Category:Symptoms]]

Unilateral red eye: Difference between revisions

Latest revision as of 15:45, 23 October 2019

Contents

Background

Clinical Features

Differential Diagnosis

Unilateral red eye

Evaluation

Diagnostic Algorithm

Traumatic

Nontraumatic

Management

See Also

Eye Algorithms

References