Red Eyes: Diagnosis, History and Examination
What is Red Eyes?
A red eye can be alarming but is often just a sign of a minor eye condition, such as conjunctivitis or a burst blood vessel. If it is painful, there may be a more serious problem. Ocular pain is often associated with a red eye.
| SN | Diagnosis | History | Examination |
| 1 | Subconjunctival haemorrhage | Typically asymptomatic, spontaneous. May be associated with trauma | Unilateral (except some trauma) contiguous red area |
| 2 | Viral conjunctivitis | Foreign body sensation, watering, no visual loss or photophobia, ?Recent contact with person with red eye or URTI | Bilateral, prominent inflamed conjunctival vessels, follicles, enlarged tender preauricular lymph node |
| 3 | Bacterial conjunctivitis | Foreign body sensation, discharge, no visual loss or photophobia | Bilateral, prominent inflamed conjunctival vessels, mucopus |
| 4 | Allergic conjunctivitis | Itch, watering, no visual loss or photophobia, history of atopy | Bilateral, prominent inflamed conjunctival vessels, follicles |
| 5 | Iritis (anterior uveitis) | Reduced vision, aching sensation, photophobia, PMH or systemic enquiry may elicit underlying disease | Unilateral, prominent pericorneal vessels, small pupil, aqueous cells and protein (at slit lamp), hypopyon |
| 6 | Acute angle-closure glaucoma | Severe pain, haloes/rainbows around lights, redused vision, hypermetropic, elderly | Unilateral, pericorneal prominent vessels, semidilated (oval) pupil, corneal oedema, shallow anterior chamber (slit lamp) |
| 7 | Episcleritis | Mild discomfort, tenderness, no visual loss or photophobia, young adult, otherwise fit and well | Unilateral, typically sectorial prominent inflamed subconjunctival vessels (may also be nodular or diffuse) |
| 8 | Scleritis | Significant aching pain, tender, photophobia, occasionally reduced vision, systemic enquiry may elicit underlying disease | Unilateral, typically sectorial prominent inflamed deep scleral vessels (may also be nodular or diffuse) |
| 9 | Becterial keratitis | Foreign body sensation, watering/discharge, visual loss, photophobia, ? Pre-existing ocular surface disease, recent trauma or contact lens wear | Unilateral, opacity in cornea (slit lamp) stains with fluorescein |
| 10 | Herpetic viral keratitis | Foreign body sensation, watering/dischange, visual loss, photophobia, ?Cold scores or ophthalmic shingles | Unilateral, branching linear dendrite(s) on cornea (slit lamp) stains with fluorescein |
| Thank you Reader |
| Your Like Motivate Us To Post New And Unique Articles So Don’t Forget To Like, Comment and Share This Post. LIKE Our Facebook Page To Get Latest Updates. |
Copyright © by edumedweb.com: All rights reserved. No part of this post/article may be reproduced, distributed, or transmitted in any form or by any means, including copying, photography, Screenshot or other electronic or mechanical methods, without the prior written permission of the Admin. Otherwise strict legal action taken against that person.For permission requests, write to the Admin
About Author
