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Red eye
- 1. RED EYE DIFFERENTIAL DIAGNOSIS DR ABDUL MUNIM KHAN ASSOCIATE PROFESSOR & HEAD EYE DEPARTMENT MBBS-MC MIRPUR AJK
- 2. CAUSES OF RED EYE 1. Stye 2. Pingeculitis 3. Pterygium 4. Sub-Conjunctival hemorrhage 5. Episleritis 6. Scleritis 7. Acute conjunctivitis 8. Foreign body conjunctiva / cornea 9. Corneal ulcers / abrasions 10. Acute bacterial Keratitis 11. Acute anterior uveitis 12. Acute narrow angle glaucoma 13. Preseptal cellulitis 14. Orbital cellulitis
- 3. MOST IMPORTANT CAUSES • Acute Adeno-viral Conjunctivitis • Acute Bacterial Corneal ulcer / keratitis • Acute Anterior Uveitis ( irits ) • Acute Congestive Glaucoma ( PNAG )
- 4. disease Acute conjunctivitis Acute keratitis/ulcer Acute anterior uveitis Acute congestive glaucoma vision Normal Normal/ reduced reduced Grossly reduced lids swollen swollen swollen swollen discharge Purulent/Muco purulent Purulent / watery watery watery congestion Conjunctival Circum-corneal Circum-corneal Circum-corneal cornea clear opacity Clear KPs hazy AC normal normal normal Very shallow Reaction in AC none Cell flare hypopyon +- Cells flare hypopyon +++ Cells flare + pupil normal normal Irregular miosed sluggish Mid dilated oval non reacting IOP normal normal Normal soft raised Markedly raised referral Not required required required required
- 5. Congestion Conjunctival Ciliary (circum-corneal) Location More in fornicies Around corneal and fades towards fornicies Color Bright red Deep red Mobility mobile Deep non mobile Phenylephrine test blanching Non blanching Clinical significance Extra ocular inflammation Intraocular inflammation Serious Non serious serious Referral Not required mandatory