Acute red eye Flashcards
How to classify the acute red eye
Painless vs painful
Increased pressure vs no increase in pressure
Visual changes vs no visual change
Investigations for the acute red eye
Asses vision - visual acuity
Fundoscopy
OCT
Conditions that cause a painful red eye
Acute angle closed glaucoma Uveitis Scleritis Episcleritis Conjunctivitis Keratitis Corneal foreign body Endophthalmitis
Conditions that cause a painless red eye
Subconjunctival haemorrhage
Conditions that cause normal ocular pressure in a red eye
Corneal abrasions
Keratitis
Conditions that cause increased ocular pressure in a red eye
Acute angle-closure glaucoma
Anterior uveitis
Conditions that cause reduced vision in a red eye
Scleritis (can be normal)
Keratitis
Foreign body (can be normal)
Risk factors for subconjunctival haemorrhage
HTN
Blood thinners - warfarin
How does acute angle closure glaucoma present
Nausea
Seeing haloes around lights
Fixed irregular oval-shaped pupil
Pain
What causes open angle glaucoma
Age-related deterioration of the trabecular meshwork
What conditions are associated with anterior uveitis
Apical fibrosis
Aortic regurgitation
Ankylosing spondylitis
Achilles tendinitis
What surgery is performed for acute angle closure glaucoma
Iridotomy
