Unilateral red eye: Difference between revisions

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==Source==
==Source==
DONALDSON (adapted from Rosen, WMS Practic Guidelines 2000)
*Rosen
*WMS Practic Guidelines 2000)


[[Category:Ophtho]]
[[Category:Ophtho]]

Revision as of 13:43, 14 October 2014

Diagnosis

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

Trauma

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

Nontraumatic

  1. Epithelial defect
    1. Corneal Abrasion
    2. Corneal Ulcer^
    3. Herpes Zoster Ophthalmicus (dendrite)
    4. Corneal erosion
      1. (morning pain)
    5. UV/welders keratitis
      1. (SPK)
    6. Scleral penetration^
  2. No defect
    1. No pain relief w/ tropicamide
      1. Acute Angle Glaucoma^
        1. dilated
        2. closed angle
        3. inc pressure
      2. Nontraumatic Iritis
      3. Scleritis^
        1. (localized; no move Q-tip)
      4. Anterior Uveitis
        1. (hypopyon, cilliary flush)
    2. No pain OR pain relief w/ tropicamide
      1. Foreign body
      2. Conjunctivitis
      3. Keratoconjunctivits
      4. Episcleritis
        1. (localized; move w/ Q-tip)
    3. Non-uptake finding (no pain/pain relief w/ tropicamd)
      1. Subconjunctival Hematoma
      2. Inflamed pingueculum
      3. Inflamed Pterygium
      4. Keratoconus (protrude)

^Emergent diagnosises

^^Critical diagnosises

See Also

Source

  • Rosen
  • WMS Practic Guidelines 2000)