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7. RED EYE.pptx
- 1. RED EYE CAUSES & DIFFERENTIAL DIAGNOSIS By: Qurat-ul-ain Ophthalmic Medical Technologist/ MBA Health & Hospital management
- 2. ETIOLOGY Adnexal • Trichiasis • Distichiasis • Floppy eye-lid syndrome • Entropion or ectropion • Lagophthalmos • Blepharitis • Meibomitis • Acne rosacea • Dacryocystitis • Canaliculitis Conjunctival • Ophthalmia neonatrum • Conjunctivitis • Sub-conjunctival hemorrhage • Inflamed pinguecula • Superior limbic kerato-conjunctivitis • Giant papillary conjunctivitis • Conjunctival foreign body • Symblephron • Conjunctival neoplasia
- 3. CONT.. Corneal • Infectious or inflammatory keratitis • Contact-lens related problems • Corneal foreign body • Recurrent corneal errorsion • Pterygium • Neurotrophic keratopathy • Medical mentosa • UV burn or chemical burn Other • Trauma • Post-operative • Dry eye syndrome • Endophthalmitis • Anterior uveitis • Episcleritis • Scleritis • Pharmacologic • Angle-closure glaucoma • Carotid-cavernous fistula • Cluster headache
- 4. CONT.. Sub-conjunctival hemorrhage: • Diffuse or localized area of blood under conjunctiva. • Asymptomatic • Idiopathic, trauma, cough, sneezing, aspirin, hypertension • Resolves with in 10-14 days Dry eye syndrome Poor quality control • Meibomian gland disease, acne rosacea • Lid related • Vitamin A deficiency Poor quantity • KCS • Lacrimal disease • CN VII palsy
- 5. CONT.. Corneal abrasion • Surface epithelium sloughed off • Stains with fluorescein • Usually due to trauma • Pain, fb sensation, tearing, red eye Corneal Ulcer • Bacterial • Viral • Fungal • Protozoan • Mechanical or trauma • Chemical
- 6. CONT.. Episcleritis • Idiopathic, collagen vascular disorder • Asymptomatic, mild pain • Self-limiting, or topical treatment Scleritis Deep • Idiopathic, collagen vascular disease, zoster, sarcoidosis, dull, deep pain • Systemic treatment with NSAID or prednisolone if sever
- 7. CONT.. Uveitis • Anterior acute recurrent, chronic • Posterior vitritis, retinal vasculitis, retinitis, choroditis • Panuveitis anterior and posterior Acute angle closure glaucoma • Pain, headache, nausea, vomiting • Redness, photophobia • Reduced vision • Halos around lights
- 8. DIFFERENTIAL DIAGNOSIS Conjunctiva Pupil Cornea Anterior chamber IOP Subconjunctival hemorrhage Bright red Normal Normal Normal Normal Conjunctivitis Injected vessels, fornices. Discharge. Normal Normal Normal Normal Iritis Injected around Small, fixed, irregular Normal, KPs Turgid, deep Normal Acute glaucoma Entire eye red Fixed, dilated, oval Hazy Shallow High
- 9. RESOURCES • Comprehensive Ophthalmology Dr. Nasir Chaudhry
- 10. THANK YOU!