red eye

Question 1

ddx for red flags

Answer 1

1. acute angle closure glaucoma
2. anterior uveitis
3. scleritis
4. conjunctivitis
5. subconjunctival hsemorrhage
6. endophthalmitis

Question 2

describe the features of acute angle closure glaucoma

Answer 2

severe pain (may be ocular or headache)
decreased visual acuity, patient sees haloes
semi-dilated pupil
hazy cornea

Question 3

describe the features of anterior uveitis

Answer 3

acute onset
pain
blurred vision and photophobia
small, fixed oval pupil, ciliary flush

Question 4

what are the features of scleritis

Answer 4

severe pain (may be worse on movement) and tenderness
may be underlying autoimmune disease e.g. rheumatoid arthritis

Question 5

features of conjunctivitis

Answer 5

purulent discharge if bacterial, clear discharge if viral

Question 6

what are the features of Subconjunctival haemorrhage

Answer 6

history of trauma or coughing bouts

Question 7

what are the features of endophthalmitis

Answer 7

typically red eye, pain and visual loss following intraocular surgery