1 / 25

RED EYE

RED EYE. The Red Eye Differential Diagnosis. Differential Diagnosis of “red eye”. Conjunctivitis. Follicles. Purulent discharge. Papillae. Chemosis. Redness. Subconjunctival Haemorrhage. Diffuse or localised area of blood under conjunctiva. Asymptomatic

ashtyn
Download Presentation

RED EYE

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. RED EYE

  2. The Red EyeDifferential Diagnosis

  3. Differential Diagnosis of “red eye”

  4. Conjunctivitis Follicles Purulent discharge Papillae Chemosis Redness

  5. Subconjunctival Haemorrhage • Diffuse or localised area of blood under conjunctiva. Asymptomatic • Idiopathic, trauma, cough, sneezing, aspirin, HT • Resolves within 10-14 days

  6. Dry Eye Syndrome • Poor quality • Meibomian gland disease,Acne rosacea • Lid related • Vitamin A deficiency • Poor quantity • Kerato Conjunctivitis Sicca • Sjogren Syndrome • Rheumatoid Arthritis • Lachrymal disease ie, Sarcoidosis • Paralytic ie, VII CN palsy

  7. Corneal Abrasion • Surface epithelium sloughed off. • Stains with fluorescein • Usually due to trauma • Pain, FB sensation,tearing, red eye

  8. Corneal Ulcer • Infection • Bacterial: Adnexal infection, lid malposition, dry eye, CL • Viral: HSV, HZO • Fungal: • Protozoan: Acanthamoeba in CL wearer • Mechanical or trauma • Chemical: Alkali injuries are worse than acid

  9. Episcleritis • Superficial • Idiopathic, collagen vascular disorder (RA) • Asymptomatic, mild pain • Self-limiting or topical treatment

  10. Scleritis • Deep • Idiopathic • Collagen vascular disease (RA,AS, SLE, Wegener, PAN) • Zoster • Sarcoidosis • Dull, deep pain wakes patient at night • Systemic treatment with NSAI or Prednisolone if severe

  11. Uveitis Anterior: acute recurrent and chronic Posterior: vitritis, retinal vasculitis, retinitis, choroiditis Panuveitis: anterior and posterior

  12. Anterior uveitis (iritis) • Photophobia, red eye, decreased vision • Idiopathic. Commonest • Associated to systemic disease • Seronegative arthropathies:AS, IBD, Psoriatic arthritis, Reiter’s • Autoimmune: Sarcoidosis, Behcets • Infection: Shingles, Toxoplasmosis, TB, Syphillis, HIV

  13. Ciliary flush Posterior synechiae Fibrin Flare Hypopyon KPs

  14. Acute Angle-closure Glaucoma • Symptoms • Pain, headache, nausea-vomiting • Redness, photophobia, • Reduced vision • Haloes around lights Ciliary hyperaemia Dilated pupil Corneal oedema

  15. GLAUCOMA

  16. CATARACT

  17. CATARACT

More Related