Red Eye

Question 1

Management of carotid cavernous fistula

Answer 1

Conservative: stop smoking, control thyroid state
▪ Lubricants and oral NSAIDs(to relieve periocular pain)
▪ Sleep with head elevated

If there is compressive optic neuropathy and severe proptosis
with exposure:
▪ Systemic steroids oral or IV
▪ Orbital radiation
▪ Surgery: Orbital decompression/Squint surgery after orbital
decompression/Lid retraction surgery after squint surgery

Question 2

What are the two most common causes of Rubeosis Iridis

Answer 2

DM
CRVO

Question 3

Management of Rubeosis Iridis

Answer 3

• Medical:
Reduce IOP, Steroids
• Surgical treatment
Filtration surgery (High failure rate)

Question 4

Management of subconjunctival hge. Due to straining

Answer 4

No treatment necessary, reassure the patient it will resolve in 2 weeks