acute red eye

Question 1

What does consensual photophobia suggest

Answer 1

Anterior uvitis

Question 2

Corneal abrasion pain charachteristics

Answer 2

Severe
subsides in 24-48 hours
Lesion on flurosceine exam

Question 3

Hx of trauma in red eye should raise suspicion for:

Answer 3

Minor trauma: Cornela abrasion, infectious keratitis
Major: globe rupture, traumatic iritis
Recent opthal surg: endophtlamitis

Question 4

Causes of red eye in patients with autoimmune and rheumatologic conditions

Answer 4

Episcleritis
Scelritis
Anterior uveitis

Question 5

Acute red eye- contact lens wearer

Answer 5

Infectious keratitis

Question 6

Mng of herpes/varicella keratitis

Answer 6

PO/ Topical antivirals
urgent opthal follow up

Question 7

Differentials for acute red eye with erythema/edema around the skin

Answer 7

periorbital cellulitis, dacrocystitis, stye, or blepharitis, which may have associated conjunctivitis.

serious causes of an acute, red painful eye with periorbital edema and erythema are orbital cellulitis and cavernous sinus thrombosis,

Question 8

Acute red painful eye- pain on eye movement or opthalmoplegia- ddx

Answer 8

Orbital cellulitis
Cavernous sinus thrombosis

Question 9

red eye, acutely decreased visual acuity

Answer 9

AACG
Endopthalmitis

Question 10

What can phenylephrine drops distinguish between

Answer 10

Episcleritis and scleirtis
Redness of episcleritis improves with phenylephrin

Question 11

DDX- red eye, cells and flare in anterior chamber

Answer 11

acute inflamm process- anterior uvitis, bacterial keratitis

Question 12

DIFFERENTIAL DIAGNOSIS FOR THE ACUTE RED EYE WITH NORMAL LIDS

Answer 12

subconjunctival hemorrhage
conjunctivitis
episcleritis
scleritis
anterior uvitis/iritis
AACG
corneal abrasion/FB
Corneal ulcer
endopthalmitis
viral keratitis