Downloaded 14 times
Uploaded byAzul .
The red eye
The document outlines learning objectives and guidelines for examining patients presenting with red eye conditions. The objectives are to recognize common red eye conditions, accurately diagnose and treat the causes, and identify patients needing referral. The document provides guidance on taking a history, performing an examination of the eye and surrounding areas, diagnosing common etiologies like conjunctivitis, styes, and trauma, and identifying red flags requiring prompt referral.
More Related Content
![Corneal blindness in a southern indian population [autosaved]](https://cdn.slidesharecdn.com/ss_thumbnails/cornealblindnessinasouthernindianpopulationautosaved-140211072740-phpapp02-thumbnail.jpg?width=640&height=640&fit=bounds)
The red eye
- 1.
- 2. LEARNING OBJECTIVES TO OBTAINEXPERTISE TO: 1. RECOGNIZE THE COMMON OF RED EYE CONDITIONS 2. ADEQUATELY DIAGNOSE AND TREAT THE COMMON CAUSES OF RED EYE 3. RECOGNIZE AND REFER PATIENTS WITH RED FLAGS
- 3. HISTORY RED EYE •Change in vision ( Blur/ Halo ) • Contact lens wear • Ill contact with another person? • Systemic disease ( Eg; Autoimmune /Atopy) • Established ocular disease? • Eye trauma / surgery/ occupational hazard • Using any eyedrops / oral medication? • Onset? Course? Duration • Single / Both eyes • Pain / Discomfort? • Foreign body sensation? • Photophobia? • Watering? Discharge? • Itching?
- 4. ALL RED EYES= CONJUNCTIVITIS
- 5. ETIOLOGY OF RED EYEDISORDER INFECTION STYE CONJUNCTIVITIS CORNEAL ULCER INFLAMMATION IRITIS SCLERITIS EPISCLERITIS TRAUMA CORNEAL ABRASION SUBCONJUNCTIVAL HEMORRHAGE CHEMICAL MECHANICAL PENETRATING NON PENETRATING (BLUNT) OTHERS ACUTE GLAUCOMA
- 6. EXAMINATION RED EYE •Inspect whole patient then eye • Eyelid ( Evert the lid ) • Conjunctiva and sclera • Cornea ( Clarity, stain with fluorescein ) • Pupil ( Shape/ Reaction to light ) • Visual Acuity ( Each eye) • Eye movement • Others : Fundoscopy/ Preauricular lymph nodes
- 7.
- 8.
- 9. ANY DISCHARGE ?? ANYITCHINESS??
- 10.
- 11.
- 12.
- 14. A CASE SHALLOW ANTERIOR CHAMBER CILIARY FLUSH EMERGENCYREFERAL CLOUDY CORNEA Acute Closure Glaucoma
- 16. TRAUMA…WHAT CAN HAPPEN?? • A 10 years old got hit directly to his eye by his colleague during fighting • One of the teacher bring him to you and he did not witness the fight. • Patient is conscious, hemodynamically stable • He can’t open his eye & block it with his hand • Claim having felt fb sensation with continuous tearing..
- 17. SUBCONJUNCTIVAL HEMORRHAGE CORNEAL ABRASION TRAUMATICIRITIS HYPHEMA RUPTURED GLOBE
- 18.
- 19.
- 21. CHEMICAL INJURY • Immediatecontinuous eye irrigation with nearest source of water (at least 15-30minutes) • Aim to normalize (PH 7.0-7.2) in the eye • Even up to 20 Litres of water to achieve the desire PH • Refer opthal
- 22. Sudden Persistent VisionLoss Severe Unexplainable Eye Pain Absent/ Sluggish Pupil Response Corneal involvement History of Significant Trauma REFER
- 23. TAKE HOME MESSAGE: TQ •Pain, Photophobia, Decrease Visual Acuity with red eye are worrisome • Do Not forget to check for Visual Acuity, Cornea and Pupil • Not all red eye equal to conjunctivitis especially Unilateral