Acute Red Eye Flashcards
What questions should be asked when taking a history in someone with acute red eye?
- Red: distribution and degree
- Pain: gritty, itchy, stabbing and throbbing
- Discharge: purulent, mucoid or watery
- Photophobia
- Flashing lights and floaters
- Blurred vision
Describe the clinical features of infective conjunctivitis
- Gritty, red eye
- Discharge (purulent/watery)
How is infective conjunctivitis treated?
Topical antibiotics
Describe the clinical features of allergic conjunctivitis
- Itchy
- Red
- Discharge
- Acute
- Lid swelling
- Cojunctival swelling
How is allergic conjunctivitis treated?
- Topical antihistamine
- Avoid allergen
- Mast cell stabilisers
Describe the clinical features of corneal abrasion
- Pain
- Watering
- Blurred vision
- Epithelial defect
How is corneal abrasion treated?
- Topical antibiotics
- Analgesia
Describe the clinical features of acute anterior uveitis
- Pain
- Watering
- Photophobia
- Blurred vision
- Floaters
- Red
- Cells in the anterior chamber
- Hypopyon
- Small irregular pupil
- Can have PH
How can acute anterior uveitis?
- Topical steroids
- Dilating drops
Describe the clinical features of scleritis
- Pain
- Redness
- Nodule
- Tenderness
How is scleritis treated?
Systemic steroids
Describe the clinical features of acute angle closure glaucoma
- Pain
- Redness
- Blurred vision
- Nausea and vomiting
- Hazy cornea
- FIxed mid dilated pupil
- Hard eyeball
How can acute angle closure glaucoma?
- Lower intraocular pressure
- Constrict pupil
Describe the clinical features of orbital cellulitis
- Pain
- Redness
- Blurred vision
- Diplopia
- Malaise
- Pyrexia
- Proptosis
- Reduced eye movement
How can orbital cellulitis be treated?
- Admit
- IV antibiotics
- CT scan
- Drainage of pus
