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Acute Red Eye

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1. Assessment of red eye

Assessment of red eye Assessment of red eye - Differential diagnosis of symptoms | BMJ Best Practice   Search  Assessment of red eye Last reviewed: February 2019 Last updated: August 2018 Summary Acute red eye is a common presenting complaint to primary care physicians. McDonnell PJ. How do general practitioners manage eye disease in the community? Br J Ophthalmol. 1988 Oct;72(10):733-6. https://bjo.bmj.com/content/bjophthalmol/72/10/733.full.pdf http://www.ncbi.nlm.nih.gov/pubmed/3191073 (...) B, McGhee C. Acute angle closure glaucoma masquerading as systemic illness. BMJ. 1996 Aug 17;313(7054):413-5. http://www.ncbi.nlm.nih.gov/pubmed/8761235?tool=bestpractice.com Differentials Trichiasis Entropion Ectropion Blepharitis Dry eye Corneal ulcer (bacterial, viral, or fungal) Contact lens-related red eye Keratitis Corneal foreign body Corneal abrasion Subtarsal conjunctival foreign body Allergic conjunctivitis Bacterial conjunctivitis Viral conjunctivitis Non-traumatic subconjunctival

2018 BMJ Best Practice

2. CRACKCast E022 – Red and Painful Eye

CRACKCast E022 – Red and Painful Eye CRACKCast E022 - Red and Painful Eye - CanadiEM CRACKCast E022 – Red and Painful Eye In , by Adam Thomas January 12, 2017 This episode of CRACKCast cover’s Rosen’s Chapter 22, Red and Painful Eye 1 . The red and painful eye can be a vision-threatening medical emergency and should be treated urgently to avoid long-term sequelae. Shownotes – Rosen’s in Perspective: Review your eye anatomy in Rosen’s Eye anatomy review. From Rosen’s. Recap the key components (...) or WBCs) and flare (diffuse haziness) Hyphema or hypopion Foreign bodies Iris Red light reflex Tears in the iris – iridotomy Lens Position, Clarity Cataracts Artificial vs. native lens Fundoscopy – explained To help in you in cases of: Visual loss and/or vision changes Can find lens dislocation Non-dilated exam is commonly performed in the ED Because of the risk of causing AACG (acute angle closure glaucoma) Inability to obtain the red light reflex (pearl) Corneal opacification Hyphema or hypopion

2017 CandiEM

3. Differentiating Urgent and Emergent Causes of Acute Red Eye for the Emergency Physician (PubMed)

Differentiating Urgent and Emergent Causes of Acute Red Eye for the Emergency Physician Patients commonly present with an acute red eye to the emergency department (ED). It is important to distinguish between benign and sight-threatening diagnoses. Here we provide a comprehensive overview on the acute red eye in the ED.

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2017 Western Journal of Emergency Medicine

4. Acute Red Eye

Acute Red Eye Acute Red Eye Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Acute Red Eye Acute Red Eye Aka: Acute Red Eye , Red Eye (...) , Eye Redness , Bloodshot Eye II. History Timing Acute, subacute or chronic Associated symptoms or Blurred Vision Photophobia Associated Conditions Systemic symptoms ( s or ) Recent illness or infection III. Exam: Eye (always) Consider first if light sensitive Delay only in cases of (irrigation precedes acuity exam) Visual fields by confrontation Defect suggests l, or CNS injury Free and painful movement in all directions exam Evaluate for pupil size and reactivity l Exam (typically with ) stain

2018 FP Notebook

5. Is this a worrisome red eye? Episcleritis in the primary care setting (PubMed)

Is this a worrisome red eye? Episcleritis in the primary care setting Episcleritis is the inflammation of the thin, loose, highly vascular connective tissue layer that lies between the conjunctiva and sclera. Incidence is less than 1/1000. It is more common in women and those between 40 and 50 years of age. Most cases are idiopathic. It is classified into simple and nodular. Most attacks resolve within 1-3 months. The nodular type tends to be more recurrent and painful. It presents with acute (...) onset of redness, lacrimation, and photophobia. The diagnosis of is essentially clinical, and eye pain or tenderness should raise the concern for scleritis. Ophthalmological referral is recommended to rule out scleritis. Bloodwork to diagnose associated systemic rheumatological disease may be helpful. Cold compresses and artificial tears provide symptomatic relief. Topical nonsteroidal anti-inflammatory drugs (NSAIDs) and steroids are used for persistent symptoms. Rarely, systemic steroids may

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2018 Journal of community hospital internal medicine perspectives

6. Red eye

Red eye Red eye - NICE CKS Clinical Knowledge Summaries Share Red eye: Summary There is a wide differential diagnosis for red eye. 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. Serious and potentially sight-threatening causes of red eye include: Acute glaucoma. Corneal ulcer, contact lens-related red eye and corneal foreign body. Anterior uveitis. Scleritis. Trauma (...) of red eye include: Acute glaucoma. This occurs when the usual drainage of aqueous humor into the anterior chamber suddenly becomes blocked. It is clinically characterized by pain in the eye (usually unilateral), headache, blurring of vision with lights seen surrounded by halos, and nausea or vomiting. Signs include reduced visual acuity, a tender and hard eye, ciliary injection and a fixed and mid-dilated pupil which is unresponsive to bright light. Pupil dilating drops, such as phenylephrine

2016 NICE Clinical Knowledge Summaries

7. Red Eye in Children

: Red Eye in Children , Pediatric Red Eye II. Indications: Immediate clinical evaluation Redness of entire or swollen Assess for Assess for acute Ethmoiditis Associated or constant eye tearing, blinking Assess for Assess for Assess for Blurred vision Assess for III. Indications: Acute clinical evaluation in 1 day Infant under age 1 month Assess for Inclusion body blennorrhea Assess for Persistent longer than 1 week IV. Causes: Common causes of Red Eye in Children ( ) Smog Chlorinated pool V (...) Red Eye in Children Red Eye in Children Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Red Eye in Children Red Eye in Children Aka

2018 FP Notebook

8. Piiloset Trehalose Emulsion Eye Drop Study in Moderate or Severe Dry Eye

. Evidence of acute or chronic infection in the cornea or conjunctiva. Diagnosis of Sjögren's syndrome. Unwillingness or apparent disability to discontinue contact lens use during study period and at least one week before the first dosing day. Current ocular allergy symptoms. Known allergy to any constituent of the trehalose emulsion eye drops or control eye drops. Currently pregnant, nursing or planning to become pregnant before completion of the study period. Any other condition that may (...) Piiloset Trehalose Emulsion Eye Drop Study in Moderate or Severe Dry Eye Piiloset Trehalose Emulsion Eye Drop Study in Moderate or Severe Dry Eye - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Piiloset

2018 Clinical Trials

9. Acute Red Eye

Acute Red Eye Acute Red Eye Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Acute Red Eye Acute Red Eye Aka: Acute Red Eye , Red Eye (...) , Eye Redness , Bloodshot Eye II. History Timing Acute, subacute or chronic Associated symptoms or Blurred Vision Photophobia Associated Conditions Systemic symptoms ( s or ) Recent illness or infection III. Exam: Eye (always) Consider first if light sensitive Delay only in cases of (irrigation precedes acuity exam) Visual fields by confrontation Defect suggests l, or CNS injury Free and painful movement in all directions exam Evaluate for pupil size and reactivity l Exam (typically with ) stain

2015 FP Notebook

10. Vestibular Assessment ? Eye movement Recordings

-red camera. In the event that complete darkness is not achievable in the clinic room, the lighting should remain constant (dim) throughout the test. In the case of electro-nystagmography recordings this should minimise any changes in the corneo-retinal potential. Also in the case of ENG recordings, where it is not possible to obtain complete darkness it is suggested that un-illuminated Frenzel’s glasses can be used with eyes open in a darkened room to eliminate visual cues (Baloh et al, 1977 (...) allow: measurement of the corneo-retinal potential (CRP) using electrodes (ENG) or direct measurement of movements of the pupils using infra-red video goggles (VNG). It is recommended that VNG is used in preference and that ENG is used only when VNG is technically difficult. The purpose of this protocol is not to provide any recommendations on whether to purchase a system with ENG as well as VNG option. Some systems combine both options. Interpretation of eye movements may be difficult or impossible

2016 British Society of Audiology

11. Red Eye Evaluation (Treatment)

Red Eye Evaluation (Treatment) Red Eye Treatment & Management: Approach Considerations, Cause-Specific Management Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE5MjEyMi10cmVhdG1lbnQ= processing > Red Eye (...) Treatment & Management Updated: Sep 18, 2018 Author: Robert H Graham, MD; Chief Editor: Andrew A Dahl, MD, FACS Share Email Print Feedback Close Sections Sections Red Eye Treatment Approach Considerations The key to management is making the correct diagnosis in a timely fashion. Uncomplicated cases of blepharitis, conjunctivitis, foreign bodies, corneal abrasion, and subconjunctival hemorrhage may be managed by the primary care physician. [ , , , , ] However, other possible causes of red eye require

2014 eMedicine.com

12. Red Eye Evaluation (Overview)

Red Eye Evaluation (Overview) Red Eye: Background, Pathophysiology and Etiology, Epidemiology and Prognosis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE5MjEyMi1vdmVydmlldw== processing > Red Eye Updated: Sep (...) 18, 2018 Author: Robert H Graham, MD; Chief Editor: Andrew A Dahl, MD, FACS Share Email Print Feedback Close Sections Sections Red Eye Overview Background A red eye is one of the cardinal signs of ocular inflammation, which can result from many conditions. Subconjunctival hemorrhage (see the image below), defined as blood between the conjunctiva and the sclera, is usually not secondary to inflammation. [ , ] Most cases of subconjunctival hemorrhage are benign and can be effectively managed

2014 eMedicine.com

13. Red Eye Evaluation (Follow-up)

Red Eye Evaluation (Follow-up) Red Eye Treatment & Management: Approach Considerations, Cause-Specific Management Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE5MjEyMi10cmVhdG1lbnQ= processing > Red Eye (...) Treatment & Management Updated: Sep 18, 2018 Author: Robert H Graham, MD; Chief Editor: Andrew A Dahl, MD, FACS Share Email Print Feedback Close Sections Sections Red Eye Treatment Approach Considerations The key to management is making the correct diagnosis in a timely fashion. Uncomplicated cases of blepharitis, conjunctivitis, foreign bodies, corneal abrasion, and subconjunctival hemorrhage may be managed by the primary care physician. [ , , , , ] However, other possible causes of red eye require

2014 eMedicine.com

14. Red Eye Evaluation (Diagnosis)

Red Eye Evaluation (Diagnosis) Red Eye: Background, Pathophysiology and Etiology, Epidemiology and Prognosis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE5MjEyMi1vdmVydmlldw== processing > Red Eye Updated (...) : Sep 18, 2018 Author: Robert H Graham, MD; Chief Editor: Andrew A Dahl, MD, FACS Share Email Print Feedback Close Sections Sections Red Eye Overview Background A red eye is one of the cardinal signs of ocular inflammation, which can result from many conditions. Subconjunctival hemorrhage (see the image below), defined as blood between the conjunctiva and the sclera, is usually not secondary to inflammation. [ , ] Most cases of subconjunctival hemorrhage are benign and can be effectively managed

2014 eMedicine.com

15. Acute conjunctivitis

Acute conjunctivitis Acute conjunctivitis - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Acute conjunctivitis Last reviewed: February 2019 Last updated: January 2018 Summary Symptoms include an irritated red eye with a watery or purulent discharge. Allergic conjunctivitis is usually bilateral with watery discharge and itching. Treatment for allergic conjunctivitis includes topical mast cell stabilisers (...) cell culture Gram stain PCR ocular pH Treatment algorithm ACUTE Contributors Authors Fellowship-Trained Ophthalmologist Manatee Sarasota Eye Clinic & Laser Center Bradenton Chief Medical Officer Rapid Pathogen Screening Inc. Sarasota FL Disclosures RS is Chief Medical Officer at Rapid Pathogen Screening, Inc, which is the manufacturer of AdenoPlus, and also has stock in the company. He serves as an advisory board member for Allergan, the manufacturer of gatifloxacin, and NovaBay Pharmaceuticals

2018 BMJ Best Practice

16. Isolated complete unilateral ptosis with intact extraocular eye movements. (PubMed)

. Magnetic resonance imaging of the brain showed an acute infarct of the left red nucleus. Oculomotor nerve fascicles are widely separated in the midbrain before they exit at the interpeduncular fossa. A discrete lesion involving the most caudal fibres of the levator palpebrae is the most likely explanation. Although uncommon, this should be considered in patients with underlying cardiovascular risk factors.© The Author(s) 2019. Published by Oxford University Press on behalf of the British Geriatrics (...) Isolated complete unilateral ptosis with intact extraocular eye movements. An 88-year-old woman presented with a 2-day history of inability to open her left eye with no ocular discomfort or blurred vision. She had a long-standing history of diabetes mellitus, hypertension and stroke disease. Examination revealed an isolated complete left eye ptosis with no pupillary involvement and intact extraocular movements. There were no other neurological deficits and fatigability was not elicited

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2019 Age and ageing

17. Photokeratitis (Ultraviolet [UV] burn, Arc eye, Snow Blindness)

inversely with exposure dose and can be as short as 1 hour Mild cases: irritation and foreign body sensation Severe cases: pain redness photophobia blepharospasm lacrimation blurring of vision Signs Bilateral (if unilateral, suspect corneal or subtarsal foreign body) Lid chemosis and redness Conjunctival hyperaemia Epiphora Punctate staining of corneal epithelium with fluorescein (may be coalescent) Mild transitory visual loss Associated skin burns from UV exposure Differential diagnosis Acute viral (...) Blindness. It is caused when the eyes are exposed to too much ultraviolet (UV) light. After a delay of 6 to 12 hours following exposure to arc welding, sun lamps or other sources of UV light, the eyes become red, painful, watery and unduly sensitive to light. The vision may become blurred and the eyelids may be red and swollen. These symptoms are caused by temporary damage to the cells on the surface of the eye. Fortunately the condition gets better by itself and there is usually no permanent damage

2015 College of Optometrists

18. Uveitis (anterior, acute and recurrent)

bullous keratopathy Dilated posterior segment examination is essential: check for cystoid macular oedema & posterior uveitis in both eyes NB If condition recurrent, signs may be less apparent, and will vary according to severity and the specific underlying disease Differential diagnosis Glaucoma (acute angle closure) Other causes of acute red eye Lens-induced uveitis, intraocular foreign body Other forms of uveitis intermediate uveitis: involves posterior ciliary body (pars plana), anterior choroid (...) (such as Crohn’s disease and ulcerative colitis), and reactive arthritis (joint inflammation as a reaction to infection of another part of the body) The HLA-B27 antigen is found in only 8% of the general population. Acute anterior uveitis usually comes on suddenly, producing a dull ache, redness, light intolerance and blurred vision in one eye. The optometrist sees evidence of inflammation in the anterior chamber (the front part of the eye). Using the slit lamp biomicroscope, he or she will see

2018 College of Optometrists

19. Conjunctivitis (Acute Allergic)

A, Sastre J, Montoro J, Jáuregui I, Dávila I, Ferrer M, Bartra J, Mullol J, Valero A. Allergic Conjunctivitis and H1 Antihistamines. J Investig Allergol Clin Immunol. 2009;19,Suppl.1:11-18 Lay summary Acute allergic conjunctivitis is an allergic reaction of the eyes, which causes a sudden swelling and redness of the eyelids and conjunctiva (the membrane covering the white of the eye), often associated with itching. It usually occurs in predisposed individuals, typically following exposure to grass (...) Conjunctivitis (Acute Allergic) Conjunctivitis (Acute Allergic) submit The College submit You're here: Conjunctivitis (Acute Allergic) Conjunctivitis (Acute Allergic) The CMGs are guidelines on the diagnosis and management of a range of common and rare, but important, eye conditions that present with varying frequency in primary and first contact care. Share options Aetiology A self-limiting urticarial reaction to an allergen (often unidentified) that comes into contact with the conjunctiva

2018 College of Optometrists

20. The Effects of Biscuits Containing Red Palm Oil on School Children With Vitamin A Deficiency in West and East Malaysia

Statement: Plan to Share IPD: No Layout table for additional information Studies a U.S. FDA-regulated Drug Product: No Studies a U.S. FDA-regulated Device Product: No Keywords provided by Malaysia Palm Oil Board: Vitamin A Deficiency Iron Deficiency Parasite Gut Microbiota Red palm oil Additional relevant MeSH terms: Layout table for MeSH terms Vitamin A Deficiency Night Blindness Avitaminosis Deficiency Diseases Malnutrition Nutrition Disorders Vision Disorders Eye Diseases Vitamins Vitamin A Retinol (...) The Effects of Biscuits Containing Red Palm Oil on School Children With Vitamin A Deficiency in West and East Malaysia The Effects of Biscuits Containing Red Palm Oil on School Children With Vitamin A Deficiency in West and East Malaysia - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum

2017 Clinical Trials

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