Red eye Flashcards
What are the red flags for red eye
Pain (including photophobia but not gritty or irritated)
Decreased acuity
Anisocoria (AKA not PEARL)
What to think if someone has a red eye with purulent discharge
Bacterial conjuctivitis
Treat with topical polysporin
What are you worried about with someone who wears contacts
Pseudomonas
Acanthamoeba
What are you worried about with decreased visual acuity
Iritis (will get photophobia and blurred vision)
Angle closure glaucoma (glurred vision with headache and nuasea)-will also see hazy cornea
Scleritis )will get blurred vision with globe pain to palpation
List five on the ddx for painful red eye
Foreign body Uveitis Angle closure glaucoma Scleritis Keratitis (will have photophobia) Corneal ulcer
Features of acute angle closure glaucoma and what to do about it
Headaches Halos around lights Nausea Blurred vision Cornea haze Anisocoria
Get eye pressure and send to ED/Optho
What to do if someone has pain when looking at light or in certain directions
Fluroscein staining-look for foreign body or iritis
What should you ask about it someone has uveitisi
Signs of systemic disease (IBD)
Why don’t we prescribe steroids
Herpes Cataracts Ulceration Globe rupture Acute angle closure glaucoma
An 18 year old had red eye symptoms. What do you swab for
NAT for C+G
10% of 18-24 year olds
If someone has decreased acuity and temple pain what is your diagnosis, workup and management?
Giant cell arteritis
Get CRP/ESR
Biopsy artery or get ultrasound if less worried or can’t get biopsy
Treat with IV steroids
20% will still go blind
Tell them not to drive
What are 3 strategies to prevent eye problems
Wear goggles
Wear condoms
Wash your hands
