Red eye Flashcards
1
Q
Red eye causes which require same day ophthalmology review
A
Acute glaucoma Corneal ulcer Anterior uveitis Scleritis Neonatal conjunctivitis Chemical/trauma injuries Anyone with contact lenses to exclude corneal ulcer
2
Q
Red flag symptoms for red eye
A
CUPID ACT Ciliary injection - dilated ciliary blood vessels Unilateral Photophobia Irregular pupils Deep pain in eye Acuity reduced Contact lenses Trauma
3
Q
Management of subconjunctival haemorrhage
A
Will clear in 2-3 weeks
Check BP control is adequate
Check INR if on anticoagulants
4
Q
Appearance of acute glaucoma
A
Ciliary and conjunctival injection
Hazy cornea
Fixed dilated pupil
5
Q
Treatment for acute glaucoma
A
IV acetazolamide Pilocarpine drops (M3 agonist)
6
Q
Appearance of anterior uveitis/iritis
A
Irregular pupil
Conjunctival redness that doesn’t blanch under pressure
7
Q
Treatment for anterior uveitis
A
Steroid eye drops
8
Q
Symptoms of anterior uveitis
A
Red eye, usually unilateral Pain Photophobia Reduced acuity Floaters
9
Q
Symptoms of acute glaucoma
A
Severe eye pain Reduced acuity N+V Headache Excessive tear production
10
Q
Symptoms of scleritis
A
Red sclera Pain - may radiate to jaw or temple and is worse on eye movements Photophobia Reduced acuity Excessive tear production
11
Q
Treatment for scleritis
A
NSAIDs
If unsuccessful, oral prednisolone