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