Following the diagnostic pathways for the red eye
| Conjunctivitis | Iritis | Glaucoma | |
|---|---|---|---|
| Pain | Gritty | Moderate/severe | Severe/radiating |
| Discharge | Purulent | Slight | |
| Photophobia | Mild | Severe | Moderate |
| Cornea | Clear | Keratic precipitates | Epithelial oedema |
| Pupil | Normal | Small, fixed | Mid-dilated, oval, fixed |
| Iris | Normal | Muddy | Greenish-grey |
| Tension | Normal | Normal (tender) | Very hard, very tender |
- Conjunctivitis
- Staph, Strep, Haemophilus, viral
- Ophthalmia neonatorum
- Keratoconjunctivitis (superficial punctate keratitis from adenovirus)
- Allergic conjunctivitis
- Dacrocystitis, styes
- Treatment
- Iritis
-
- Associations
- Management: Steroids + dilate pupil + pad
-
- Glaucoma
-
- Closed vs open angle glaucoma
- Management: Constrict pupil (pilocarpine) + ?Acetazolamide to inhibit aqueous production
-
- Keratitis
- Marginal ulcers – bacterial infection
- Dendritic ulcers – viral infection
- Scleritis
- Pinguecula andepiscleritis
- Watery eyes
- Ectropion
- Entropion
- Rosacea-like watering eye syndrome
- Blocked tear duct (sticky eyes in babies)
- Dry eyes
- Sudden loss of sight in quiet eyes
- Retinal arteriosclerosis
- Hypertensive retinopathy
- Diabetic retinopathy
- Central retinal vein occlusion
- Retinal artery occlusion
- Vitreous haemorrhage
- Retinal detachment
- Squints
- Removing foreign bodies