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Approach to Red Eye
Dr.Mohammad Dmour , M.D
Ophthalmology Department.
Islamic Hospital.
Pre-lecture Question
Which is/are in the differential diagnosis for red
eye?
A) Conjunctivitis
B) Scleritis
C) Ocular foreign body
D) Angle Closure Glaucoma
E) All of the Above
Pre-lecture Question
Which is not associated with pre- orbital/pre-
septal cellulitis?
A) Decreased visual acuity
B) Lid erythema and edema
C) Ptosis
D) Fever
E) Full ocular motility
Pre-lecture Question
Which of the following has no role in treating HSV
epithelial keratitis?
A) Superficial debridement
B) Topical ganciclovir (Zirgan)
C) Topical steroids
D) Oral Antivirals (acyclovir)
E) Topical trifluridine
Which Category Applies?
• Acute onset, painful :
1. Unilateral
2. Bilateral
• Acute onset, painless :
1. Unilateral
2. Bilateral
• Chronic
1. Unilateral
2. Bilateral
ACUTE ONSET, PAINFUL, UNILATERAL
• Common Causes
1. Corneal abrasion
2. Corneal foreign body (FB)
3. Subtarsal foreign body (FB)
• Less Common Causes
1. Trauma
2. Acute glaucoma
3. Uveitis
4. Corneal ulcer
5. Scleritis/episcleritis
6. Orbital cellulitis
ACUTE, PAINFUL, BILATERAL
1. chemical injury – alkali or acid
2. contact lens wear
3. dry eyes
4. Allergic conjunctivitis
5. dysthyroid eye disease
ACUTE, PAINLESS, UNILATERAL
1. Viral Conjunctivitis
2. Subconjunctival hemorrhage
3. Allergic reaction
ACUTE, PAINLESS, BILATERAL
1. Blepharitis
2. Allergic reactions
3. Thyroid eye disease – rare
CHRONIC, UNILATERAL OR BILATERAL
1. Blepharitis
2. Dry eye
3. Chronic conjunctivitis
4. Contact lens wear
5. Dysthyroid eye disease

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Red eye

  • 1. Approach to Red Eye Dr.Mohammad Dmour , M.D Ophthalmology Department. Islamic Hospital.
  • 2. Pre-lecture Question Which is/are in the differential diagnosis for red eye? A) Conjunctivitis B) Scleritis C) Ocular foreign body D) Angle Closure Glaucoma E) All of the Above
  • 3. Pre-lecture Question Which is not associated with pre- orbital/pre- septal cellulitis? A) Decreased visual acuity B) Lid erythema and edema C) Ptosis D) Fever E) Full ocular motility
  • 4. Pre-lecture Question Which of the following has no role in treating HSV epithelial keratitis? A) Superficial debridement B) Topical ganciclovir (Zirgan) C) Topical steroids D) Oral Antivirals (acyclovir) E) Topical trifluridine
  • 5.
  • 6.
  • 7. Which Category Applies? • Acute onset, painful : 1. Unilateral 2. Bilateral • Acute onset, painless : 1. Unilateral 2. Bilateral • Chronic 1. Unilateral 2. Bilateral
  • 8. ACUTE ONSET, PAINFUL, UNILATERAL • Common Causes 1. Corneal abrasion 2. Corneal foreign body (FB) 3. Subtarsal foreign body (FB) • Less Common Causes 1. Trauma 2. Acute glaucoma 3. Uveitis 4. Corneal ulcer 5. Scleritis/episcleritis 6. Orbital cellulitis
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21. ACUTE, PAINFUL, BILATERAL 1. chemical injury – alkali or acid 2. contact lens wear 3. dry eyes 4. Allergic conjunctivitis 5. dysthyroid eye disease
  • 22.
  • 23.
  • 24.
  • 25.
  • 26. ACUTE, PAINLESS, UNILATERAL 1. Viral Conjunctivitis 2. Subconjunctival hemorrhage 3. Allergic reaction
  • 27.
  • 28.
  • 29. ACUTE, PAINLESS, BILATERAL 1. Blepharitis 2. Allergic reactions 3. Thyroid eye disease – rare
  • 30.
  • 31. CHRONIC, UNILATERAL OR BILATERAL 1. Blepharitis 2. Dry eye 3. Chronic conjunctivitis 4. Contact lens wear 5. Dysthyroid eye disease