Unilateral red eye: Difference between revisions
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== | ==Background== | ||
==Clinical Features== | |||
*Unilateral red/painful eye | |||
* | |||
== | ==Differential Diagnosis== | ||
===Traumatic=== | |||
* Obvious [[Ruptured Globe]]^ | * Obvious [[Ruptured Globe]]^ | ||
* No obvious ruptured globe | * No obvious ruptured globe | ||
| Line 23: | Line 23: | ||
**** (old occult open globe) | **** (old occult open globe) | ||
==Nontraumatic== | ===Nontraumatic=== | ||
* Epithelial defect | * Epithelial defect | ||
** [[Corneal Abrasion]] | ** [[Corneal Abrasion]] | ||
| Line 59: | Line 59: | ||
^^Critical diagnosises | ^^Critical diagnosises | ||
==Diagnosis== | |||
*Evert lens and look for foreign body | |||
*Remove contacts | |||
*Photophobia suggests inflammation i.e. uveitis and abrasions | |||
*Pupil: irregular with positive sidel's suggests penetrating injury | |||
==Managment== | |||
*By diagnosis | |||
==See Also== | ==See Also== | ||
Revision as of 13:09, 24 May 2015
Background
Clinical Features
- Unilateral red/painful eye
Differential Diagnosis
Traumatic
- Obvious Ruptured Globe^
- No obvious ruptured globe
- Epithelial defect
- Corneal Abrasion and Foreign Body
- Conjunctival laceration
- Corneal Ulcer^
- Caustic Keratoconjunctivitis^^
- Occult Ruptured Globe^
- (positive Sidel's)
- No defect
- Subconjunctival Hematoma
- Traumatic Iritis
- Hypema^
- (?occult open globe)
- Endophthalmitis^
- (old occult open globe)
- Epithelial defect
Nontraumatic
- Epithelial defect
- Corneal Abrasion
- Corneal Ulcer^
- Herpes Zoster Ophthalmicus (dendrite)
- Corneal erosion
- (morning pain)
- UV/welders keratitis
- (SPK)
- Scleral penetration^
- No defect
- No pain relief w/ tropicamide
- Acute Angle Glaucoma^
- dilated
- closed angle
- inc pressure
- Nontraumatic Iritis
- Scleritis^
- (localized; no move Q-tip)
- Anterior Uveitis
- (hypopyon, cilliary flush)
- Acute Angle Glaucoma^
- No pain OR pain relief w/ tropicamide
- Foreign body
- Conjunctivitis
- Keratoconjunctivits
- Episcleritis
- (localized; move w/ Q-tip)
- Non-uptake finding (no pain/pain relief w/ tropicamd)
- Subconjunctival Hematoma
- Inflamed pingueculum
- Inflamed Pterygium
- Keratoconus (protrude)
- No pain relief w/ tropicamide
^Emergent diagnosises
^^Critical diagnosises
Diagnosis
- Evert lens and look for foreign body
- Remove contacts
- Photophobia suggests inflammation i.e. uveitis and abrasions
- Pupil: irregular with positive sidel's suggests penetrating injury
Managment
- By diagnosis
See Also
Source
- Rosen
- WMS Practic Guidelines 2000)