The Red Eye

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The Red Eye
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RED EYE HISTORYSerious Symptoms

• ACUITY
• PAIN
• PHOTOPHOBIA

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RED EYE HISTORY

• Discharge (character and quantity)
• Itch, scratch, burn
• Trauma, exposure to particles
• Associated URI, Sick Contacts

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EXAM

• ACUITY
• INJECTION
• PUPIL
• LIDS
• FLUORESCEIN
• FIRMNESS
• GONIOSCOPY
• OPHTHANE

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LID FOLLICLES - CHLAMYDIA OR NOT?
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HYPOPYON
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Subconjunctival hemorrhage

• No good slide
• completely benign
• normal acuity, etc

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REVIEW

• Acuity, pain, photophobia in association with red
  eye are worrisome
• Check conjunctivae, acuity, pupil, cornea
• Often hard to distinguish causes of
  conjunctivitis - ok to use abx when in doubt
• Conjunctivitis is contagious
• Acute glaucoma - vomiting patient with dilated
  pupil