The Red Eye
RED EYE HISTORY Serious 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