Shujat Ali Jafri


Published on

Red Eye

Published in: Health & Medicine
  • Be the first to comment

  • Be the first to like this

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Shujat Ali Jafri

  1. 1. Shujat Ali JafriOpthalmology 4th Year MBBSTopic :- Red Eye Jafri Gmc Sukkur
  2. 2. RED EYE• Red eye-non-specific term to describe an eye that appears red due to illness, injury, or some other condition• Caused by enlarged, dilated blood vessels, leading to the appearance of redness on surface of eye Jafri
  3. 3. History Taking Jafri
  4. 4. EXAMINATION :- Jafri
  5. 5. Causes of red eyeThere are many different causes of a red eye. After taking a full historyand thoroughly examining the eyes, a management plan can be made. Jafri
  6. 6. Anterior uveitis• Inflammation of the iris and ciliary body• Clinical features:• Young or middle aged patients• Pain worse when reading• Photophobia• Reduced visual acuity• On examination:• Pupil may be small and irregular (due to posterior synechiae - adhesions of iris to the lens)• On using slit lamp, anterior chamber may show: – cells (moving, white specks) – hypopyon - pus in anterior chamber – flare (looking through frosted glass)• keratic precipitates may be seen at the back of the cornea Jafri
  7. 7. Conjunctivitis• The eye discharge in conjunctivitis may be clear (serous) or puslike (purulent) Purulent – bacterial conjunctivitis Clear – viral or allergic cause Serous Purulent Jafri
  8. 8. Subconjunctival haemorrhage• Bright red blood between white sclera and conjunctiva. Usually benign. Can be caused by:• Severe coughing or straining• Hypertension• Blood disorders• Idiopathic• Clinical features:• Diffuse area of bright red blood• May be a foreign body• No pain, blurred vision or photophobia• Eye examination otherwise normal Jafri
  9. 9. Scleritis• Inflammation of white sclera itself• Usually very painful; significantly more redness present compared to episcleritis• Associated with other autoimmune conditions• Visual acuity may be affected• Management - may need immunosuppressants• Complications - corneal ulceration, intraocular inflammation Jafri
  10. 10. Corneal ulceration• Causes• Infection• Corneal abrasion• Contact lenses• Clinical Features• Pain• Foreign body sensation• Mild to moderate red eye• Blurred vision• Photophobia• Examination• Staining the cornea with fluorescein shows an area of corneal epithelial defect, and shows up yellow. Jafri
  11. 11. PTERYGIUM• Triangular fold of conjunctiva that usually grows from the medial portion of the palpebral fissure towards & invades the cornea• Non-malignant fibrovascular growth• Predisposing factors: – Hot climates – Chronic dryness – Exposure to sun *Prevalent in Southern Countries• Mx – surgical removal Jafri
  12. 12. SYMPTOMS ASSOCIATED WITH RED EYESYMPTOMS Pain Visual loss Eye discharge  Purulent – bacterial conjunctivitis Clear – viral or allergic cause Gritty sensation – common in conjunctivitis Itching – common in allergic eye disease, blepharitis Photophobia Jafri
  13. 13. SIGNS OF THE RED EYES1. Vesicles 3 52. Follicles 1 2 4 63. Ciliary flush4. Irregular pupil5. Papillae6. Foreign body7. Dilated conjunctival vessels8. Discharge9. Corneal ulcer10. Hypopyon11. Dendritic ulcer 8 10 12 7 1112. Dilated episcleral vessels 9 Jafri
  14. 14. Shujat Ali Jafri4th Year MBBSGmc Sukkur Jafri