Red eye (by symptoms): Difference between revisions

Revision as of 21:27, 14 July 2011

Caustic Contamination

caustic keratoconjunctivitis**===
1. [anesth/irrigation until ph 7/optho]
2. ...alkaline exp requires min 4L over 40min

PROPTOSIS or EXT SWELLING

blepharitis
1. [warm compresses 15min 4x/day, scrub w/ mild shampoo BID, outpt optho]
chalazion
stye (hordeolum)
1. [warm compress 15min 4xday, massage, optho if fails]
dacrocystitis:inflammation lower eyelid near punctum
1. [oral analgesia, abx, optho]
inflam pseudotumor: retrobulbar inflamm
1. [iop, systemic w/u, CT, steroids and optho]
peri/orbital cellulitis*: orbital w/ systemic sx
1. [CTX/Vanco, cx, CT, admit]
retrobulbar abscess/emphysema/hematoma**
1. [iop, abx, correct coagulopathy, admit]
orbital tumor*
1. [iop, ct, optho]

SEVERE PAIN or FB SENSATION

keratitis*
1. [r/o penetration, tetanus, topical abx, optho referral]
keratoconjunctivitis
epi/scleritis
anterior uveitis*
1. [optho recs]
acute angle-closure glaucoma**
1. [iop, timolol, apraclonidine, prednisolone, pilocarpine, mannitol 2g/kg IV]
hyphema*
1. [r/o rupture, head elevation, optho]
endophthalmitis*
1. [CTX, vanco; admit to optho]

FOCAL REDNESS or BULBAR CONJUNCTIVA

inflamed pterygium
1. [naphazoline/ketorolac drops, outpt referral]
scleral penetration**
1. [pain relief, antiemetic, tetanus, admit optho]
subconjunctival hemorrhage
1. [hx re coagulopathy, reassure will resolve 2-3 wks]

PURULENT DISCHARGE

bacterial conjunctivitis*
1. [peds: polymyxin B + trimethoprim ointment 10Ds OU]
2. [adults: sulfacetamide or gent; cipro if pseudomonas; drops 10D OU]

ITCHING SENSATION

allergic conjunctivitis
1. [naphazoline drops, oral antihistamines, outpt optho]

TOPICAL MEDS or COSMETICS

contact dermatoconjunctivitis
toxic conjunctivitis
1. [irrigate, naphazoline drops, outpt for tx failure]

IF NONE OF ABOVE: (consider)

Chlamydia conjunctivitis
1. [PO erythromycin x 14D; CTX for gonorrhea]
viral conjunctivitis
1. [naphazoline or ketorolac drops]

Source

Adapted from Pani

Authors:

@@ Line 1: / Line 1: @@
-==CAUSTIC CONTAMINATION==
+==Caustic Contamination==
--caustic keratoconjunctivitis**
+#caustic keratoconjunctivitis**===
+##[anesth/irrigation until ph 7/optho]
-[anesth/irrigation until ph 7/optho]
+##...alkaline exp requires min 4L over 40min
-...alkaline exp requires min 4L over 40min
 ==PROPTOSIS or EXT SWELLING==
--blepharitis
+#blepharitis
+##[warm compresses 15min 4x/day, scrub w/ mild shampoo BID, outpt optho]
-[warm compresses 15min 4x/day, scrub w/ mild shampoo BID, outpt optho]
+#chalazion
+#stye (hordeolum)
--chalazion
+##[warm compress 15min 4xday, massage, optho if fails]
+#dacrocystitis:inflammation lower eyelid near punctum
--stye (hordeolum)
+##[oral analgesia, abx, optho]
+#inflam pseudotumor: retrobulbar inflamm
-[warm compress 15min 4xday, massage, optho if fails]
+##[iop, systemic w/u, CT, steroids and optho]
+#peri/orbital cellulitis*: orbital w/ systemic sx
+##[CTX/Vanco, cx, CT, admit]
--dacrocystitis:inflammation lower eyelid near punctum
+#retrobulbar abscess/emphysema/hematoma**
+##[iop, abx, correct coagulopathy, admit]
-[oral analgesia, abx, optho]
+#orbital tumor*
+##[iop, ct, optho]
--inflam pseudotumor: retrobulbar inflamm
-[iop, systemic w/u, CT, steroids and optho]
--peri/orbital cellulitis*: orbital w/ systemic sx
-[CTX/Vanco, cx, CT, admit]
--retrobulbar abscess/emphysema/hematoma**
-[iop, abx, correct coagulopathy, admit]
--orbital tumor*
-[iop, ct, optho]
 ==SEVERE PAIN or FB SENSATION==
--keratitis*
+#keratitis*
+##[r/o penetration, tetanus, topical abx, optho referral]
-[r/o penetration, tetanus, topical abx, optho referral]
+#keratoconjunctivitis
+#epi/scleritis
+#anterior uveitis*
+##[optho recs]
--keratoconjunctivitis
+#acute angle-closure glaucoma**
+##[iop, timolol, apraclonidine, prednisolone, pilocarpine, mannitol 2g/kg IV]
--epi/scleritis
+#hyphema*
+##[r/o rupture, head elevation, optho]
--anterior uveitis*
+#endophthalmitis*
+##[CTX, vanco; admit to optho]
-[optho recs]
--acute angle-closure glaucoma**
-[iop, timolol, apraclonidine, prednisolone, pilocarpine, mannitol 2g/kg IV]
--hyphema*
-[r/o rupture, head elevation, optho]
--endophthalmitis*
-[CTX, vanco; admit to optho]
 ==FOCAL REDNESS or BULBAR CONJUNCTIVA==
--inflamed pterygium
+#inflamed pterygium
+##[naphazoline/ketorolac drops, outpt referral]
-[naphazoline/ketorolac drops, outpt referral]
+#scleral penetration**
+##[pain relief, antiemetic, tetanus, admit optho]
+#subconjunctival hemorrhage
--scleral penetration**
+##[hx re coagulopathy, reassure will resolve 2-3 wks]
-[pain relief, antiemetic, tetanus, admit optho]
--subconjunctival hemorrhage
-[hx re coagulopathy, reassure will resolve 2-3 wks]
 ==PURULENT DISCHARGE==
+#bacterial conjunctivitis*
+##[peds: polymyxin B + trimethoprim ointment 10Ds OU]
+##[adults: sulfacetamide or gent; cipro if pseudomonas; drops 10D OU]
--bacterial conjunctivitis*
-[peds: polymyxin B + trimethoprim ointment 10Ds OU]
-[adults: sulfacetamide or gent; cipro if pseudomonas; drops 10D OU]
 ==ITCHING SENSATION==
+#allergic conjunctivitis
+##[naphazoline drops, oral antihistamines, outpt optho]
--allergic conjunctivitis
-[naphazoline drops, oral antihistamines, outpt optho]
 ==TOPICAL MEDS or COSMETICS==
+#contact dermatoconjunctivitis
+#toxic conjunctivitis
+##[irrigate, naphazoline drops, outpt for tx failure]
--contact dermatoconjunctivitis
--toxic conjunctivitis
-[irrigate, naphazoline drops, outpt for tx failure]
 ==IF NONE OF ABOVE: (consider)==
+#Chlamydia conjunctivitis
--Chlamydia conjunctivitis
+##[PO erythromycin x 14D; CTX for gonorrhea]
+#viral conjunctivitis
-[PO erythromycin x 14D; CTX for gonorrhea]
+##[naphazoline or ketorolac drops]
--viral conjunctivitis
-[naphazoline or ketorolac drops]
 ==Source==