Medical student education 1 rating pdf 885 kb download. Macleods clinical diagnosis demonstrates how to apply the core clinical skills learned from the companion textbook macleods clinical examination to maximum advantage. A detailed history, baseline ophthalmological tests, and accompanying manifestations can narrow down the differential diagnosis. The diagnosis of the cause of red eye can be a challenge for the pediatrician because the differential diagnosis includes a. It is frequently encountered in primary health care and emergency departments. The red appearance to the eye may be the first indication to the. A detailed history of the presenting symptoms and previous ophthalmic and medical history can narrow the differential diagnosis and aid in the interpretation of key examination findings. Evaluation of red eye differential diagnosis of symptoms. Serious and potentially sightthreatening causes of red eye include. This slide program provides an approach to differential diagnosis of conditions that can cause a red eye, helping physicians understand which conditions causing a red eye require immediate treatment, which. Authored by susan lightman posted on may 14, 2010 topic. Because conjunctivitis is caused by various etiologies, clinicians must derive a differential diagnosis. The challenge lies in discerning one from the other. A symptom common to eye impairments is conjunctivitis, or red eye, a commonly seen manifestation in an ambulatory pediatric population.
To save the file right click or optionclick the link and choose save as. Common differential diagnoses for a unilateral, painful red eye include. Jun 11, 2019 the differential diagnosis is so large that the caregiver must be comfortable with all diagnoses and must be able to distinguish between them. Differential diagnosis of red eye conjunctiva pupil cornea anterior chamber iop subconjunctival haemorrhage bright red normal normal normal normal conjunctivitis injected vessels, fornices. The red eye in children is a frequent complaint in general practice.
Neonatal conjunctivitis ophthalmia neonatorum differential. Managing the red eye 4 introduction slide 1 physicians frequently encounter patients who complain of a red eye. Exclude other potential causes of acute red eye, such as preseptal cellulitis or orbital cellulitis. Pubmed database was used for articles selection using the keywords red eyes, and evaluation. The red eye international council of ophthalmology.
Most of them have red eye as the major clinical finding. Algorithm for the differential diagnosis and treatment of. In addition, the inappropriate use of antibacterial. Differential diagnosis of red eye red eyes are commonly encountered in optometric practice and it is imperative that the eyecare practitioner is able to formulate an appropriate differential diagnosis in order to manage patients effectively and expeditiously. Differential diagnosis of red eye slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Anamnesis systemic disease eye disease devolopment of difficulties character of diffuculties. Most cases will be due to relatively benign problems. Conjunctivitis is the most common cause of red eye. Red eye is a common presentation in primary care and is a sign of inflammation.
The differential diagnosis is so large that the caregiver must be comfortable with all diagnoses and must be able to distinguish between them. Differential diagnosis of red eye linkedin slideshare. Red eyes are commonly encountered in optometric practice and it is imperative that the eyecare practitioner is able to formulate an appropriate differential diagnosis in order to manage patients effectively and expeditiously. What additional history may be useful in refining differential diagnoses for a unilateral red eye. The differential diagnosis includes both benign and sightthreatening conditions.
Jan 15, 2010 red eye is the cardinal sign of ocular inflammation. Red eye is one of the most important topics in medical practice. Congenital dacryostenosis is another condition to consider in the differential diagnosis of neonatal conjunctivitis. The presence of eye pain and reduced visual acuity are red. Winner of the standing ovation award for best powerpoint templates from presentations magazine. It is important to differentiate whether the person presenting with red eye needs same day assessment by an ophthalmologist, or if they can be safely managed in primary care. Eye education for emergency clinicians 4 introduction normally the eye has a strong resistance. In the emergency department, 75% of ophthalmologic complaints are due to conjunctivitis, corneal abrasions, or foreign bodies. Painful andor red eye differential diagnosis at a glance.
Red eye is the cardinal sign of ocular inflammation. Essentials of anatomy and physiology, examinations of the visual system, the child. Photophobia corneal abrasions, iritis, acute glaucoma halo vision corneal edema acute glaucoma, uveitis evaluation. Painful or red eye differential diagnosis productive medic. Understand the principles of management of the acute red eye 3. Diagnosis and management of red eye in primary care. The following red flags point to other more serious diagnoses, such as keratitis inflammation of the cornea, iritis, or angle closure glaucoma. A detailed history of the presenting symptoms and previous ophthalmological and medical history can narrow the differential diagnosis and aid in the interpretation of key examination findings.
The differential diagnosis of the red eye springerlink. Differential diagnosis of pediatric conjunctivitis red eye. Misdiagnosis is a major medicolegal pitfall, in that the truly emergent conditions that may cause red eye have major visionthreatening sequelae. The most likely cause of a red eye in patients who present to general practice is conjunctivitis. If you continue browsing the site, you agree to the use of cookies on this website.
May 02, 2015 algorithm for the evaluation of the red eye 6. A red eye is an eye that appears red due to illness or injury. Susan lightman, frcp, frcophth, phd, professor of clinical ophthalmology at moorfields eye hospital, london, 2007. Patients with eye problems account for up to 5% of all general practice consultations. Xerophthalmia describes a dry eye associated with vitamin a deficiency. Recognise cases of red eye that require prompt referral to an ophthalmologist suggested reading ophthalmology. Eye education for emergency clinicians 20 conclusion remember beware of the red eye. Potential causes of a red painful eye include scleritis, uveitis, corneal abrasion, corneal ulcer, viral keratitis, acute angle closure glaucoma, endophthalmitis foreign body and chemical injury. The initial differential diagnosis of red eye, which includes iritis, acute glaucoma, keratitis and corneal ulcer, and rarer disorders, must be reexamined. Red eye, a differential diagnosis is the property of its rightful owner.
Differential diagnosis clues if the eye itches, if the eye burns, if the eye is sticky, its allergy. Acute, red eye photophobia ocular pain worsening routine 48 hrs to first available loss broken glasses. It is often considered as benign but the condition entails a vast array of differential diagnoses with some being considered as medical emergencies and so require urgent action. Medical student education 1 rating pdf 885 kb download susan lightman, frcp, frcophth, phd, professor of clinical ophthalmology at moorfields eye hospital, london, 2007.
Dry eye disorders there is inadequate tear volume or function resulting in an unstable tear film and ocular surface disease. However, red eye can also be a feature of a more serious eye condition, in which a delay in treatment due to a missed diagnosis can result in permanent visual loss. The emphasis of this lecture is to highlight the importance of the ophthalmic history. Differential diagnosis of conjunctivitis and the red eye. Essentials of anatomy and physiology, examinations of the visual system, the child with suspected eye disease, chronic loss of vision, acute painless visual disturbance, the acute red eye, abnormal looking eyes, chronic ocular unease and associated. Understand the diagnostic approach to the acute red eye 2. Journal of pediatric ophthalmology and strabismus differential diagnosis of eye diseases, by hans pau, m. Assessment of red eye differential diagnosis of symptoms. Conjunctivitis can affect one or both eyes and is the most likely diagnosis. Nov 05, 2018 exclude other potential causes of acute red eye, such as preseptal cellulitis or orbital cellulitis. Pdf most of the documents on the racgp website are in portable document format pdf. Although most red eyes seen in the primary care setting are a. Red eye diagnosis and management in primary health care. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from.
Charting the course from routine workup to diagnosis. Red eyes that fail to respond quickly and completely to topical antibiotic treatment require more extensive evaluation to relieve the symptoms and avert possible sightthreatening complications. Discharge normal normal normal normal iritis injected around cornea small, fixed, irregular normal, kps turgid, deep normal. When a child presents with red eye, you must be able to identify potentially serious ocular conditions that will require immediate referral to an ophthalmologist. This small handbook was meant to provide a differential diagnosis for those who provide eye care. Keratoconjunctivitis sicca kcs refers to any eye with some degree of dryness. A red eye is a nonspecific term to describe an eye that appears red due to illness or. Cause and effect continued symptom cause deep, intense pain corneal abrasions, scleritis, iritis, acute glaucoma, sinusitis, etc. On examination, unaided visual acuity was 612 and 624 on the right and left eyes respectively, correcting with pinhole to 69 bilaterally. Conjunctivitis and subconjunctival hemorrhage are two of the less serious but more common causes.
Blepharitis, hordeolum, and chalazion are associated with a localized red, swol len, tender eyelid. Differential diagnosis currently, eye care professionals in the united states generally attempt to make a differential diagnosis of acute red eye based on the slitlamp examination combined with empirical evidence, including the patients history, recent activity or illness, duration, symptoms, and by observing bilateral involvement, type of. There are little epidemiologic data on the red eye, and there are no evidencebased data to guide us in the management of these patients. The presence of eye pain and reduced visual acuity are red flags for sinister ophthalmological diagnoses. A small proportion of red eye cases are serious and need urgent treatment. Files on the website can be opened or downloaded and saved to your computer or device.
To open click on the link, your computer or device will try and open the file using compatible software. Misdiagnosis is a major medicolegal pitfall, in that the truly emergent conditions that may. Acute red eye is a common presenting complaint to primary care physicians. The condition is usually benign and can be managed by primary care physicians. Jul 27, 2015 red eye is a common presentation in primary care and is a sign of inflammation. Mar 17, 2009 differential diagnosis of red eye slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Unilateral red eye changes it is usually unilateral.
Although the exact incidence of diagnoses presenting as a red eye is not well defined, most are benign. The most common cause of red eye presenting in a primary care setting is conjunctivitis. If so, share your ppt presentation slides online with. Conjunctivitis and subconjunctival hemorrhage are two of the less serious but more common causes management includes assessing whether emergency action. Diagnosis and management of pediatric conjunctivitis. It is usually injection and prominence of the superficial blood vessels of the conjunctiva, which may be caused by disorders of these or adjacent structures. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that. Red eye red eye is sign of pathology of anterior or posterior ocular segment, of orbit or of ocular adnexa. Primary care physicians typically see 410 patients per week who complain of ocular symptoms. The red eye has an extensive differential diagnosis.
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