The red eye

16/07/2014 by admin | Ophthalmology

 

  • Conjunctivitis: (infective, dry eye, allergic), very common, sticky/gritty/itchy/stringy discharge, redness throughout entire sclera and both eye lids. Tx = topical chloramphenicol/lubricant/mast stabaliser.
  • Episcleritis: irritation, sectorial redness (one side of iris only), no lid involvement. No Tx required
  • Iritis (anterior uveitis): pain, moderate photophobia, redness of eye around cornea and constricted pupil. Tx topical corticosteroid and dilate
  • Corneal keratitis: pain, sharp photophobia, watering, local redness and corneal discolouration. Tx topical antiviral
  • Scleritis: severe pain, may increase on eye movement, intense redness in eye only. Tx: systemic eith corticosteroid and cytotoxic
  • Acute angle closure glaucoma: pain, aching, vomiting, intense redness with large fixed pupil.
  • Trauma
  • Subconjunctival haemorrhage
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