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RED EYE
DIFFERENTIAL DIAGNOSIS
DR ABDUL MUNIM KHAN
ASSOCIATE PROFESSOR & HEAD EYE DEPARTMENT
MBBS-MC MIRPUR AJK
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
MOST IMPORTANT CAUSES
• Acute Adeno-viral Conjunctivitis
• Acute Bacterial Corneal ulcer / keratitis
• Acute Anterior Uveitis ( irits )
• Acute Congestive Glaucoma ( PNAG )
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
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
Red eye
Red eye
Red eye
Red eye

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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