Unilateral red eye

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Trauma

A. Obvious open globe*

B. No obvious open globe

    1. Epithelial defect
         i. Corneal abrasion
         ii. Corneal ulcer*
         iii. Caustic keratoconjunctivitis**
         iv. Occult open globe*
         (positive Sidel's)
    2. No defect
         i. Subconjunct hem
         ii. Traumatic iritis
         iii. Hypema*
         (?occult open globe)
         iv. Endophthalmitis*
         (old occult open globe)


Nontraumatic

A. Epithelial defect

    1. Corneal abrasion
    2. Corneal ulcer* (above)
    3. HSV conjunct (dendrite)
    4. Corneal erosion
    (morning pain)
    5. UV/welders keratitis
    (SPK)
    6. Scleral penetration*

B. No defect

    1. No pain relief w/ tropicamide
         i. Acute angle glaucoma*
              -dilated
              -closed angle
              -inc pressure
         ii. Nontraumatic Iritis
         iii. Scleritis*
         (localized; no move Q-tip)
         iv. Anterior uveitis
         (hypopyon, cilliary flush)
    2. No pain/pain relief w/ tropicamide
         i. Foreign body
         ii. Conjunctivitis
              a. Viral
              b. Bacterial*
              (purulent-->?GC)
              c. Allergic
              d. Contact
              e. Toxic
              f. Chlamydial
         iii. Keratoconjunctivits
         iv. Episcleritis
         (localized; move w/ Q-tip)
    3. Non-uptake finding
    (no pain/pain relief w/ tropicamd)
         i. Subconjunct hemorr
         ii. Inflamed pingueculum
         iii. Inflamed pterygium
         iv. Keratoconus (protrude)


  • Emergent diagnosises
    • Critical diagnosises


See Also

Optho: Corneal Abrasion vs Ulcer

Optho: Red Eye (Unilateral) 2

Optho: Red Eye (Bilateral)

Optho: Red Eye (by Sx)


Source

3/20/06 DONALDSON (adapted from Rosen, WMS Practic Guidelines 2000)