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RED EYE. Rengin YILDIRIM, Prof. Dr. Cerrahpasa Medical Faculty. RED EYE. PATOGENESIS ?. THE REASONS ?. SYMPTOMPS ?. SIGNS?. VASCULAR SYSTEM OF ANTERIOR SE G MENT. SUPERFICIAL. DEEP (CILIARY). TYPES OF HYPEREMIA. COMMON CAUSES OF RED EYE. PAIN (+). PAIN (-). 1- INFECTIONS
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RED EYE • Rengin YILDIRIM, Prof. Dr. • Cerrahpasa Medical Faculty
RED EYE PATOGENESIS ? THE REASONS ? SYMPTOMPS ? SIGNS?
VASCULAR SYSTEM OF ANTERIOR SEGMENT SUPERFICIAL DEEP (CILIARY)
COMMON CAUSES OF RED EYE PAIN (+) PAIN (-) 1- INFECTIONS 2- TRAUMA OF ANTERIOR SEGMENT 3- ACUT GLAUCOMACRYSIS 4- SYSTEMIC DISEASES 1- SUBCONJUNCTIVAL HEMORRAGIE 2-CHRONIC BLEPHARITIS 3- DRY EYE
INFECTIONS OF EYE BLEPHARITIS CONJONCTIVITIS KERATITIS SCLERITIS DACRIOCYSTITIS UVEITIS
ACUT CONJONCTIVITIS SYMPTOMS A SCRATCHING OR BURNING SENSATION FOREING BODY SENSATION PHOTOPHOBIA AND PAIN (IF CORNEA IS ALSO AFFECTED ITCHING
ACUT CONJONCTIVITIS SIGNS HYPEREMIA CHEMOSIS TEARING FOLLICLES EXUDATION PSEUDOMEMBRANES AND MEMBRANS PSEUDOPTOSIS GRANULOMAS PREAURICULAR LAP PAPILLARY HYPERTROPY
VERNALIS(ALLERGIC CONJONCTIVITIS) LIMBAL FORM OF VERNALIS PALBEPRAL FORM OF VERNALIS
KERATITIS • ETIOLOGY • INFECTIONS • BACTERIAL • FUNGAL • VIRAL • HYPERSENSITIVITY • NUTRICIONAL DISEASE • KERATOMALACIA • NEUROTROPHIC KERATITIS • EXPOSURE KERATITIS • TRAUMA • RADIATIONAL • MECHANICAL • CHEMICAL HYPOPION
VIRAL KERATITIS GEOGRAPHIC FORM DENDRITIC FORM PRIMARY INFECTION
EPISCLERITIS - SCLERITIS SUPERFICIAL HYPEREMIA DIFFUSE EPISCLERITIS NODULAR EPISCLERITIS DEEP HYPEREMIA DIFFUSE SCLERITIS NODULAR SCLERITIS DEEP HYPEREMIA NECROTIC SCLERITIS SCLEROMALACIA PERFORANCE
ACUT UVEITIS • SEVERE PAIN,PHOTOPHOBIA • MIXT (DEEP) HYPEREMIA • SELF-LIMITED COURSE,OFTEN • RECURRENCE • PINPOINT KERATIC PRECIPITATS • IN AQUEOUS, MANY CELLS, SOMETIMES • PROTEIN ACCUMULATIONS • SINECHIA POSTERIOR, PUPILLARY • DISTURBANCES, SECONDARY GLAUCOMA • CAUSES: EXOGENEOUS &ENDOGENEOUS BEHCET’S DISEASE
CLINIC FORMS OF UVEITIS KERATIC PRECIPITATS SINECHIA POSTERIOR DEEP (CILIARY) HYPEREMIA SINECHIA POSTERIOR
FOREIGN BODIES OF CONJONCTIVAE OR CORNEA • SYMPTOMS • FOREIGN BODY SENSATION, TEARING, MINIMAL PAIN, BLURRED VISION, PHOTOPHOBIA • ( IF THERE IS A CORNEAL FOREIGN BODY, SYMPTOMS MORE SEVERE!) • SIGNS • FOREIGN BODY,SUPERFICIAL (CONJONTIVAL)HYPEREMIA • TREATMENT • REMOVAL OF FOREIGN BODY AND OCCLUSION OF EYE FOR 1 DAY
ACUT GLAUCOMA CRISIS • PRECIPITATING FACTORS • PHYSIOLOGIC PUPILLARY BLOCK • INCREASED SIZE OF THE LENS • (RELATIVE PUPILLARY BLOCK) • PLATEAU IRIS FIXED PUPILLA GLAUCOMA FLECKEN
ACUT GLAUCOMA CRISIS PATHOGENESIS GRADING SYSTEM OF ANGLE ANTERIOR CHAMBER ANGLE OF EYE CLOSED ANGLE
ACUT GLAUCOMA CRISIS • SYMPTOMS AND SIGNS • SUDDEN ONSET OF BLURRED VISION • FOLLOWED BY SEVERE HEADACHE AND PAIN IN THE EYE • RAINBOW COLORED HALOS AROUND LIGHTS • NAUSEA,VOMITING • MARKEDLY INCREASED IOP • A SHALLOW ANTERIOR CHAMBER • AN OEDEMATOUS CORNEA • A FIXED,MODERATELY DILATED PUPILLA • CILIARY (DEEP) HYPEREMIA
ACUT GLAUCOMA CRISIS • TREATMENT MUST BE URGENTLY!! • IOP MUST BE LOWER WITHIN 48 – 72 HOURS • IF NO TREATMENT ; BLINDNESS !! PROFLAXY YAG LASER IRIDOTOMY
SUBCONJONCTIVAL HEMORAGIE • USUALLY IN ONLY ONE EYE, IN ANY AGE GROUP • OCCUR SPONTANEOUSLY • SUDDEN ONSET • CAUSE: • THE RUPTURE OF A SMALL CONJONCTIVAL VESSELS ( SOMETIMES PRECEEDED BY ABOUT OF SEVERE CAUGHING OR SNEEZING) • NO TREATMENT, SPONTANEOUSLY RESOLUTION WITHIN 2 -3 WEEKS