Red eye dr-s_brodovsky

Not " THE RED EYE " Again! Stephen Brodovsky MD, FRCSC Associate Professor Dept of Ophthalmology University of Manitoba Private Practice Cataract/Corneal/Refractive Surgery

Ocular History & Examination Visual Acuity Pupils Motility Anterior segment (cornea & conjunctiva) Posterior segment Confrontation Fields Intraocular Pressure

Usual ”RED EYE” Lecture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

? Pupil Size ? Location of Injection

What is your provisional Diagnosis ? Iritis

If painful, usually not “pink eye” ,[object Object],[object Object],[object Object],[object Object],[object Object]

Iritis Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]

Why is the patient having difficulty working ? ,[object Object],[object Object]

Photophobia &/or Ciliary Injection ,[object Object],[object Object],[object Object]

Photophobia & Ciliary Injection Herpes Simplex Corneal Abrasion Corneal Ulcer

Corneal Ulcers: Rosacea & Blepharitis

Contact lens wearer & corneal ulcer ALWAYS ASK ABOUT CONTACT LENS WEAR!!!

What is your provisional Diagnosis ? Dry Eye

History ,[object Object],[object Object],[object Object],[object Object]

Dry Eyes ,[object Object],[object Object],[object Object],[object Object],[object Object]

Schirmer Test Tear production measured

Rule-out Blepharitis Frequently co-exists with dry eye Erythema of lid margin Scales on Lashes Loss of Cilia

Dry Eye Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Red Eye ,[object Object],[object Object],[object Object],[object Object]

What is your provisional Diagnosis ? Sub-conjunctival hemorrhage

Provisional Diagnosis Subconjunctival hemorrhage ? Trauma ? Blood Clotting ? Valsalva Maneuver ? Elevated BP

Subconjunctival Hemorrhage Management ,[object Object],[object Object],[object Object],[object Object]

What is your provisional Diagnosis ? Bacterial Conjunctivitis

Clinical Pearls ,[object Object],[object Object],[object Object]

Differential Diagnosis Lacrimal System Obstruction

Bacterial Conjunctivitis Treatment ,[object Object],[object Object],[object Object],[object Object]

Bacterial Conjunctivitis Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]

Bacterial Conjunctivitis Treatment ,[object Object],[object Object]

Chronic Conjunctivitis Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object]

Diagnosis ? Chronic Conjunctivitis Secondary to toxic or allergic reaction to topical medication

Management ,[object Object],[object Object],[object Object]

Toxic Reaction to Eye Drops ,[object Object],[object Object],[object Object],[object Object]

What is your provisional Diagnosis ? Allergic Conjunctivitis

Allergy Mast cells Factors Released: Histamine, Chemotactic factors, Prostaglandin synthesis IgE Allergen

Management of Ocular Allergy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Red Eye Summary Photophobia Chronic Irritation Acute Red Eye Red Eye with Discharge Chronic Red Eye Itching

Decreased Vision Post-Cataract Surgery

History of “Perfect Vision” then “Unable to Distinguish Material” in first week after Surgery

What is your provisional Diagnosis ? Endophthalmitis

What is your management ? ,[object Object],[object Object],[object Object],[object Object],Referral to ophthalmologist in

Complications Post-Cataract Surgery ,[object Object],[object Object],[object Object],[object Object]

Red eye dr-s_brodovsky

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