Red Eye Flashcards
How do you obtain accurate ocular history?
- Onset? Sudden or Progressive?
- Timeline? Hours, days, or intermittent?
- Family Hx of red eye?
- Medications?
- Hx of trauma or extraordinary events?
- Contact lens wear & schedule of contact lens wear?
- Recent infections?
- Loss of vision?
- Pain and description of pain.
- Discharge?
- Itching?
- Sensitivity to light?
- Change in symptoms w/ environment?
Acute angle closure glaucoma
(Can be differentiated from open angle glaucoma, because it creates a red eye)
Ciliary flush episcleritis
Viral conjunctivitis
(note the cobblestone appearance)
Why can’t you use steroids for this condition?
It will eat through the cornea
(herpes simplex keritisis)
Nodular scleritis
(Cornea will be normal with a slight left exam)
- Dacryocystitis
- This is not an infection and does not require antibiotics. Most clear on their own.
symptoms
tearing
treatment
- You must wait 6 months to prove this usually due to an obstruction in the nose or the valve under the inferior turbinate
- parents can press on it to drain it
- Abnormal, triangular tissue growth that grows over the cornea from the nasal side.
- Associated with ultraviolet exposure (more commonly seen in tropical climates)
Treatment
- Treated by surgical excision, but only if it encroaches on the visual axis.
- must be 3.5 mm
(20% recurrence rate, experimental new procedure with amniotic membrane graft w/no recurrence)
Purulent conjunctivitis (bacterial)
Notice creamy-white discharge and conjunctival hyperemia (common in many infections of conjunctiva)
Most common complaint with patients presenting with pure electric providers?
Waking up with a crusted shut eyelid
(vision & cornea fine, red eye present)
Large keratic percipitate: clumps of white cells are sticking to the endothelium of the cornea
Corneal edema (corneal disruptions) that are obvious by the loss of a sharp corneal reflex to a more dulled & diffuse one.