The Red Eye

RED EYE HISTORYSerious Symptoms

• ACUITY

• PAIN

• PHOTOPHOBIA

RED EYE HISTORY

• Discharge (character and quantity)

• Itch, scratch, burn

• Trauma, exposure to particles

• Associated URI, Sick Contacts

EXAM

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

LID FOLLICLES - CHLAMYDIA OR NOT?

HYPOPYON

Subconjunctival hemorrhage

No good slide

completely benign

normal acuity, etc

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