RED EYE

Question 1

DDx

Answer 1

Chalazion
Hordeoleum
Blepharitis
Dacrocystitis
Corneal Abrasion
Cornal Ulcer
Corneal Foreign Body
Chemical Burn
Ultraviolet Keratitis
Superficial Keratitis
Bacterial Conjunctivitis
Viral Conjunctivitis
Allergic Conjunctivitis
Iritis / Uveitis
Episcleritis
Scleritis
Endophalmitis
Acute Closure Glaucoma

Question 2

Red Flags

Answer 2

Trauma
Exposure
Pain (including photophobia)
Decreased Visual Acuity
Anisocoria (AKA not PEARL)

Question 3

DDx for decreased visual acuity with Red Eye

Answer 3

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

Question 4

Why don’t we prescribe steroids

Answer 4

Herpes
Cataracts
Ulceration
Globe rupture
Acute angle closure glaucoma

Question 5

An 18 year old had red eye symptoms. What do you swab for

Answer 5

NAT for C+G
10% of 18-24 year olds

Question 6

If someone has decreased acuity and temple pain what is your diagnosis, workup and management?

Answer 6

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

Question 7

What are 3 strategies to prevent eye problems

Answer 7

Wear goggles
Wear condoms
Wash your hands