Bilateral red eyes - Revision history

Danbot: Add verified PubMed references (PMIDs 20082509, 10922425)

2026-03-22T10:53:17Z

Add verified PubMed references (PMIDs 20082509, 10922425)

← Older revision		Revision as of 10:53, 22 March 2026
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	==Background==		==Background==
	[[File:Schematic diagram of the human eye en.png\|thumb\|Eye anatomy.]]		[[File:Schematic diagram of the human eye en.png\|thumb\|Eye anatomy.]]
	*This page describes a general approach to the complaint of bilateral red eyes		*This page describes a general approach to the complaint of bilateral red eyes<ref>Cronau H, Kankanala RR, Mauger T. Diagnosis and management of red eye in primary care. Am Fam Physician. 2010 Jan 15;81(2):137-44. PMID 20082509</ref>
	*Bilateral red eye is more suggestive of a systemic or non-infectious process compared to unilateral red eye		*Bilateral red eye is more suggestive of a systemic or non-infectious process compared to unilateral red eye
	*Most common cause is bilateral viral [[conjunctivitis]] (often starts unilateral, becomes bilateral in 24-48 hours)		*Most common cause is bilateral viral [[conjunctivitis]] (often starts unilateral, becomes bilateral in 24-48 hours)
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	===Physical Exam===		===Physical Exam===
	*Visual acuity (each eye separately) — must be normal in simple conjunctivitis		*Visual acuity (each eye separately) — must be normal in simple conjunctivitis<ref>Leibowitz HM. The red eye. N Engl J Med. 2000 Aug 3;343(5):345-51. PMID 10922425</ref>
	*Type of injection: diffuse (conjunctivitis), ciliary flush (iritis, acute glaucoma)		*Type of injection: diffuse (conjunctivitis), ciliary flush (iritis, acute glaucoma)
	*Pupil size and reactivity (irregular/fixed pupil = iritis or glaucoma)		*Pupil size and reactivity (irregular/fixed pupil = iritis or glaucoma)

Danbot: Strip excess bold

2026-03-22T09:35:43Z

Strip excess bold

← Older revision		Revision as of 09:35, 22 March 2026
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	===Common===		===Common===
	*~~'''~~Viral conjunctivitis~~'''~~ (adenovirus — most common; highly contagious)		*Viral conjunctivitis (adenovirus — most common; highly contagious)
	*~~'''~~Allergic conjunctivitis~~'''~~ (bilateral itching, watery discharge, seasonal)		*Allergic conjunctivitis (bilateral itching, watery discharge, seasonal)
	*~~'''~~Dry eye syndrome~~'''~~		*Dry eye syndrome
	*~~'''~~Chemical/irritant exposure~~'''~~		*Chemical/irritant exposure

	===Systemic Disease-Associated===		===Systemic Disease-Associated===
	*~~'''~~Reactive arthritis~~'''~~ (Reiter syndrome — conjunctivitis + urethritis + arthritis)		*Reactive arthritis (Reiter syndrome — conjunctivitis + urethritis + arthritis)
	*~~'''~~[[Kawasaki disease]]~~'''~~ (bilateral non-exudative, pediatric)		*[[Kawasaki disease]] (bilateral non-exudative, pediatric)
	*~~'''~~[[Stevens-Johnson syndrome]]~~'''~~ / toxic epidermal necrolysis (bilateral conjunctivitis with skin involvement)		*[[Stevens-Johnson syndrome]] / toxic epidermal necrolysis (bilateral conjunctivitis with skin involvement)
	*~~'''~~[[SLE]]~~'''~~ (episcleritis/scleritis)		*[[SLE]] (episcleritis/scleritis)
	*~~'''~~Inflammatory bowel disease~~'''~~ (episcleritis, uveitis)		*Inflammatory bowel disease (episcleritis, uveitis)
	*~~'''~~Thyroid eye disease~~'''~~ (Graves' — may have bilateral injection with proptosis)		*Thyroid eye disease (Graves' — may have bilateral injection with proptosis)

	===Infectious===		===Infectious===
	*'''Gonococcal conjunctivitis''' (hyperacute, profuse purulent discharge — emergency)		*'''Gonococcal conjunctivitis''' (hyperacute, profuse purulent discharge — emergency)
	*~~'''~~Chlamydial conjunctivitis~~'''~~ (chronic follicular conjunctivitis)		*Chlamydial conjunctivitis (chronic follicular conjunctivitis)
	*~~'''~~Bilateral herpes keratitis~~'''~~ (rare — consider immunocompromised)		*Bilateral herpes keratitis (rare — consider immunocompromised)

	==Evaluation==		==Evaluation==

Danbot: Expanded with EM-focused content: systemic causes, Kawasaki association, red flags, evaluation, management by etiology, disposition

2026-03-20T23:54:37Z

Expanded with EM-focused content: systemic causes, Kawasaki association, red flags, evaluation, management by etiology, disposition

@@ Line 1: / Line 1: @@
 ==Background==
 [[File:Schematic diagram of the human eye en.png|thumb|Eye anatomy.]]
-*This page describes a general approach to the complaint of bilateral eye redness
+*This page describes a general approach to the complaint of bilateral red eyes
 ==Differential Diagnosis==
 {{Bilateral Red Eyes}}
 ==See Also==
 {{Eye algorithms}}
 ==References==
 <references/>
-[[Category:Ophthalmology]][[Category:Symptoms]]
+[[Category:Ophthalmology]]

Rossdonaldson1: /* Background */

2026-02-04T17:54:05Z

Background

← Older revision		Revision as of 17:54, 4 February 2026
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	==Background==		==Background==
			[[File:Schematic diagram of the human eye en.png\|thumb\|Eye anatomy.]]
	*This page describes a general approach to the complaint of bilateral eye redness		*This page describes a general approach to the complaint of bilateral eye redness

Rossdonaldson1 at 17:23, 4 February 2026

2026-02-04T17:23:47Z

← Older revision		Revision as of 17:23, 4 February 2026
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			==Background==
			*This page describes a general approach to the complaint of bilateral eye redness

	==Differential Diagnosis==		==Differential Diagnosis==
	{{Bilateral Red Eyes}}		{{Bilateral Red Eyes}}

Rossdonaldson1: /* References */

2023-01-18T21:44:16Z

References

← Older revision		Revision as of 21:44, 18 January 2023
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	==References==		==References==
	<references/>		<references/>
	~~Adapted from Pani~~

	[[Category:Ophthalmology]][[Category:Symptoms]]		[[Category:Ophthalmology]][[Category:Symptoms]]

Rossdonaldson1: /* See Also */

2019-04-03T04:38:20Z

Rossdonaldson1: Rossdonaldson1 moved page Red Eye (Bilateral) to Bilateral red eyes

2018-11-20T21:27:58Z

Rossdonaldson1 moved page Red Eye (Bilateral) to Bilateral red eyes

← Older revision	Revision as of 21:27, 20 November 2018
(No difference)

Rossdonaldson1: /* Differential Diagnosis */

2018-11-20T20:50:23Z

Differential Diagnosis

@@ Line 1: / Line 1: @@
 ==Differential Diagnosis==
-*Painful
+{{Bilateral Red Eyes}}
 ==See Also==

Rossdonaldson1 at 20:49, 20 November 2018

2018-11-20T20:49:21Z

← Older revision		Revision as of 20:49, 20 November 2018
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	==~~Painful~~==		==Differential Diagnosis==
	*[[Caustic Keratoconjunctivitis]]		*Painful
	*Foreign body		**[[Caustic Keratoconjunctivitis]]
	*Trauma		**Foreign body
	*Contact Lens		**Trauma
	*[[Conjunctivitis]]		**Contact Lens
	*[[Blepharitis]]		**[[Conjunctivitis]]
	*[[Allergic reaction]]		**[[Blepharitis]]
	*[[Thyroid disease]]		**[[Allergic reaction]]
	**gross chemosis, diplopia		**[[Thyroid disease]]
	*Carotico-cavernous fistula		***gross chemosis, diplopia
	**fistula between carotid and cavernous sinus presents with bilateral conjunctival edema and pulsatile exophthalmos (spontaneous in elderly, secondary to trauma in young)		**Carotico-cavernous fistula
			***fistula between carotid and cavernous sinus presents with bilateral conjunctival edema and pulsatile exophthalmos (spontaneous in elderly, secondary to trauma in young)
	==Painless==		*Painless
	*Conjunctivitis		**Conjunctivitis
	*[[Blepharitis]]		**[[Blepharitis]]
	*Allergic Reaction		**Allergic Reaction
	*Thyroid disease (optic nerve compression/APD)		**Thyroid disease (optic nerve compression/APD)

	==See Also==		==See Also==

← Older revision		Revision as of 04:38, 3 April 2019
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	==See Also==		==See Also==
	*[[Eye ~~Algorithm (Main)]]~~		{{Eye algorithms}}
	*[[Red Eye (Unilateral)]]

	==References==		==References==