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Author: Jonathan Trobe, MD, 2009

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                          for more information see: http://open.umich.edu/wiki/CitationPolicy



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THE RED EYE
             Jonathan D. Trobe, MD
   Departments of Ophthalmology and Neurology
      University of Michigan Medical School



Fall, 2008
Causes of Red Eye:
      Ocular Adnexal Tissues

 1. Contact dermatitis
 2. Chronic blepharitis
 3. Stye
 4. Dacryocystitis*
 5. Orbital cellulitis*
 6. Orbital tumor*

*Dangerous conditions
Contact dermatitis




Source Undetermined
Chronic Blepharitis
Source Undetermined
Chronic Blepharitis
Source Undetermined
Chronic Blepharitis
Regents of the University of Michigan
Stye (Hordeolum)
Source Undetermined
Regents of the University of Michigan
Dacryocystitis
Source Undetermined
Regents of the University of Michigan
Orbital Cellulitis




Source Undetermined
Regents of the University of Michigan
Source Undetermined
Orbital Tumor
Regents of the University of Michigan
Source Undetermined
Causes of Red Eye:
           Conjunctiva/Sclera

  1. Conjunctivitis**
  2. Episcleritis
  3. Scleritis*
  4. Pinguecula
  5. Pterygium
  6. Squamous carcinoma*
  7. Subconjunctival hemorrhage

*Dangerous conditions
**Dangerous only if bacterial
Bacterial Conjunctivitis




Source Undetermined
Gonococcal Conjunctivitis




Source Undetermined
Viral Conjunctivitis
Regents of the University of Michigan
Chlamydial Conjunctivitis




Source Undetermined
Allergic Conjunctivitis



Regents of the University of Michigan
Autoimmune Conjunctivitis
Regents of the University of Michigan
Autoimmune Conjunctivitis:
                  Graves Disease
Regents of the University of Michigan
Drawing of
 an eye with
    diffuse
hyperemia of
conjunctivitis
     was
  removed.
Episcleritis
Source Undetermined
Scleritis
Source Undetermined
Pinguecula
Regents of the University of Michigan
Pterygium
Regents of the University of Michigan
Subconjunctival
                      Hemorrhage
Source Undetermined
Drawing of an
   eye with
    focal,
 conjunctival
  hyperemia
with a mound
was removed.
Causes of Red Eye:
              Cornea

 1. Abrasion

 2. Non-traumatic keratopathy* (infection,
 drying, corneal endothelial dysfunction)



*Dangerous conditions
Fluorescein staining
Source Undetermined
Corneal Abrasion
Source Undetermined
Corneal Foreign Body
Source Undetermined
Conjunctival Foreign Body




Source Undetermined
Non-traumatic keratopathy
Source Undetermined
Source Undetermined
Herpes simplex keratitis:
                      Typical dendrite
Source Undetermined
Keratitis sicca
Source Undetermined
Corneal ulcer
Source Undetermined
Causes of Red Eye:
          Anterior Chamber

 1. Uveitis*

 2. Angle Closure Glaucoma*

 3. Infection (Endophthalmitis)*


*Dangerous Conditions
Anterior uveitis
Regents of the University of Michigan
Posterior synechiae and lens pigment
                  in anterior uveitis
Source Undetermined
Acute Angle Closure Glaucoma
Regents of the University of Michigan
Source Undetermined
Source Undetermined
Source Undetermined
Endophthalmitis
Source Undetermined
Drawing of an
 eye with ciliary
flush of corneal/
      anterior
     chamber
  disorders was
    removed.
Source Undetermined
Source Undetermined
Additional Source Information
                      for more information see: http://open.umich.edu/wiki/CitationPolicy
Slide 5 – Source Undetermined
Slide 6 – Source Undetermined
Slide 7 – Source Undetermined
Slide 8 – Chronic Blepharitis Regents of the University of Michigan (The Eyes Have It)
http://www.kellogg.umich.edu/theeyeshaveit/red-eye/blepharitis.html
Slide 9 – Source Undetermined
Slide 10 – Cross-section of an eyelid Regents of the University of Michigan (The Eyes Have It)
http://www.kellogg.umich.edu/theeyeshaveit/anatomy/external-eye.html
Slide 11 – Source Undetermined
Slide 12 – External anatomy of the eye Regents of the University of Michigan (The Eyes Have It)
http://www.kellogg.umich.edu/theeyeshaveit/anatomy/external-eye.html
Slide 13 – Source Undetermined
Slide 14 – Cross-section of an eye in orbit Regents of the University of Michigan (The Eyes Have It)
http://www.kellogg.umich.edu/theeyeshaveit/anatomy/sagittal-section.html
Slide 15 – Source Undetermined
Slide 16 – Orbital tumor Regents of the University of Michigan (The Eyes Have It)
http://www.kellogg.umich.edu/theeyeshaveit/red-eye/orbital-tumor.html
Slide 17 – Source Undetermined
Slide 19 – Source Undetermined
Slide 20 – Source Undetermined
Slide 21 – Viral conjunctivitis Regents of the University of Michigan (The Eyes Have It)
http://www.kellogg.umich.edu/theeyeshaveit/red-eye/viral-conjunctivitis.html
Slide 22 – Source Undetermined
Slide 23 – Allergic conjunctivitis Regents of the University of Michigan (The Eyes Have It)
http://www.kellogg.umich.edu/theeyeshaveit/red-eye/allergic-conjunctivitis.html
Slide 24 – Autoimmune conjunctivitis Regents of the University of Michigan (The Eyes Have It)
http://www.kellogg.umich.edu/theeyeshaveit/red-eye/immunologic-conjunctivitis.html
Slide 25 – Autoimmune conjunctivitis: Graves Disease Regents of the University of Michigan (The Eyes Have It)
http://www.kellogg.umich.edu/theeyeshaveit/acquired/graves-disease.html
Additional Source Information
                      for more information see: http://open.umich.edu/wiki/CitationPolicy


Slide 27 – Source Undetermined
Slide 28 – Source Undetermined
Slide 29 – Pinguecula Regents of the University of Michigan (The Eyes Have It)
http://www.kellogg.umich.edu/theeyeshaveit/red-eye/inflamed-pingueculum.html
Slide 30 – Pterygium Regents of the University of Michigan (The Eyes Have It)
http://www.kellogg.umich.edu/theeyeshaveit/red-eye/pterygium.html
Slide 31 – Source Undetermined
Slide 34 – Source Undetermined
Slide 35 – Source Undetermined
Slide 36 – Source Undetermined
Slide 37 – Source Undetermined
Slide 38 – Source Undetermined
Slide 39 – Source Undetermined
Slide 40 – Source Undetermined
Slide 41 – Source Undetermined
Slide 42 – Source Undetermined
Slide 44 – Anterior uveitis Regents of the University of Michigan (The Eyes Have It)
http://www.kellogg.umich.edu/theeyeshaveit/red-eye/anterior-uveitis.html
Slide 45 – Source Undetermined
Slide 46 – Acute angle closure glaucoma Regents of the University of Michigan (The Eyes Have It)
http://www.kellogg.umich.edu/theeyeshaveit/red-eye/angleclosure-glaucoma.html
Slide 47 – Source Undetermined
Slide 48 – Source Undetermined
Slide 49 – Source Undetermined
Slide 50 – Source Undetermined
Slide 52 – Source Undetermined
Slide 53 – Source Undetermined

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11.21.08(a): The Red Eye

  • 1. Author: Jonathan Trobe, MD, 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution 3.0 License: http://creativecommons.org/licenses/by/3.0/ We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. The citation key on the following slide provides information about how you may share and adapt this material. Copyright holders of content included in this material should contact open.michigan@umich.edu with any questions, corrections, or clarification regarding the use of content. For more information about how to cite these materials visit http://open.umich.edu/education/about/terms-of-use. Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition. Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.
  • 2. Citation Key for more information see: http://open.umich.edu/wiki/CitationPolicy Use + Share + Adapt { Content the copyright holder, author, or law permits you to use, share and adapt. } Public Domain – Government: Works that are produced by the U.S. Government. (USC 17 § 105) Public Domain – Expired: Works that are no longer protected due to an expired copyright term. Public Domain – Self Dedicated: Works that a copyright holder has dedicated to the public domain. Creative Commons – Zero Waiver Creative Commons – Attribution License Creative Commons – Attribution Share Alike License Creative Commons – Attribution Noncommercial License Creative Commons – Attribution Noncommercial Share Alike License GNU – Free Documentation License Make Your Own Assessment { Content Open.Michigan believes can be used, shared, and adapted because it is ineligible for copyright. } Public Domain – Ineligible: Works that are ineligible for copyright protection in the U.S. (USC 17 § 102(b)) *laws in your jurisdiction may differ { Content Open.Michigan has used under a Fair Use determination. } Fair Use: Use of works that is determined to be Fair consistent with the U.S. Copyright Act. (USC 17 § 107) *laws in your jurisdiction may differ Our determination DOES NOT mean that all uses of this 3rd-party content are Fair Uses and we DO NOT guarantee that your use of the content is Fair. To use this content you should do your own independent analysis to determine whether or not your use will be Fair.
  • 3. THE RED EYE Jonathan D. Trobe, MD Departments of Ophthalmology and Neurology University of Michigan Medical School Fall, 2008
  • 4. Causes of Red Eye: Ocular Adnexal Tissues 1. Contact dermatitis 2. Chronic blepharitis 3. Stye 4. Dacryocystitis* 5. Orbital cellulitis* 6. Orbital tumor* *Dangerous conditions
  • 8. Chronic Blepharitis Regents of the University of Michigan
  • 10. Regents of the University of Michigan
  • 12. Regents of the University of Michigan
  • 14. Regents of the University of Michigan
  • 16. Orbital Tumor Regents of the University of Michigan
  • 18. Causes of Red Eye: Conjunctiva/Sclera 1. Conjunctivitis** 2. Episcleritis 3. Scleritis* 4. Pinguecula 5. Pterygium 6. Squamous carcinoma* 7. Subconjunctival hemorrhage *Dangerous conditions **Dangerous only if bacterial
  • 21. Viral Conjunctivitis Regents of the University of Michigan
  • 23. Allergic Conjunctivitis Regents of the University of Michigan
  • 24. Autoimmune Conjunctivitis Regents of the University of Michigan
  • 25. Autoimmune Conjunctivitis: Graves Disease Regents of the University of Michigan
  • 26. Drawing of an eye with diffuse hyperemia of conjunctivitis was removed.
  • 29. Pinguecula Regents of the University of Michigan
  • 30. Pterygium Regents of the University of Michigan
  • 31. Subconjunctival Hemorrhage Source Undetermined
  • 32. Drawing of an eye with focal, conjunctival hyperemia with a mound was removed.
  • 33. Causes of Red Eye: Cornea 1. Abrasion 2. Non-traumatic keratopathy* (infection, drying, corneal endothelial dysfunction) *Dangerous conditions
  • 40. Herpes simplex keratitis: Typical dendrite Source Undetermined
  • 43. Causes of Red Eye: Anterior Chamber 1. Uveitis* 2. Angle Closure Glaucoma* 3. Infection (Endophthalmitis)* *Dangerous Conditions
  • 44. Anterior uveitis Regents of the University of Michigan
  • 45. Posterior synechiae and lens pigment in anterior uveitis Source Undetermined
  • 46. Acute Angle Closure Glaucoma Regents of the University of Michigan
  • 51. Drawing of an eye with ciliary flush of corneal/ anterior chamber disorders was removed.
  • 54. Additional Source Information for more information see: http://open.umich.edu/wiki/CitationPolicy Slide 5 – Source Undetermined Slide 6 – Source Undetermined Slide 7 – Source Undetermined Slide 8 – Chronic Blepharitis Regents of the University of Michigan (The Eyes Have It) http://www.kellogg.umich.edu/theeyeshaveit/red-eye/blepharitis.html Slide 9 – Source Undetermined Slide 10 – Cross-section of an eyelid Regents of the University of Michigan (The Eyes Have It) http://www.kellogg.umich.edu/theeyeshaveit/anatomy/external-eye.html Slide 11 – Source Undetermined Slide 12 – External anatomy of the eye Regents of the University of Michigan (The Eyes Have It) http://www.kellogg.umich.edu/theeyeshaveit/anatomy/external-eye.html Slide 13 – Source Undetermined Slide 14 – Cross-section of an eye in orbit Regents of the University of Michigan (The Eyes Have It) http://www.kellogg.umich.edu/theeyeshaveit/anatomy/sagittal-section.html Slide 15 – Source Undetermined Slide 16 – Orbital tumor Regents of the University of Michigan (The Eyes Have It) http://www.kellogg.umich.edu/theeyeshaveit/red-eye/orbital-tumor.html Slide 17 – Source Undetermined Slide 19 – Source Undetermined Slide 20 – Source Undetermined Slide 21 – Viral conjunctivitis Regents of the University of Michigan (The Eyes Have It) http://www.kellogg.umich.edu/theeyeshaveit/red-eye/viral-conjunctivitis.html Slide 22 – Source Undetermined Slide 23 – Allergic conjunctivitis Regents of the University of Michigan (The Eyes Have It) http://www.kellogg.umich.edu/theeyeshaveit/red-eye/allergic-conjunctivitis.html Slide 24 – Autoimmune conjunctivitis Regents of the University of Michigan (The Eyes Have It) http://www.kellogg.umich.edu/theeyeshaveit/red-eye/immunologic-conjunctivitis.html Slide 25 – Autoimmune conjunctivitis: Graves Disease Regents of the University of Michigan (The Eyes Have It) http://www.kellogg.umich.edu/theeyeshaveit/acquired/graves-disease.html
  • 55. Additional Source Information for more information see: http://open.umich.edu/wiki/CitationPolicy Slide 27 – Source Undetermined Slide 28 – Source Undetermined Slide 29 – Pinguecula Regents of the University of Michigan (The Eyes Have It) http://www.kellogg.umich.edu/theeyeshaveit/red-eye/inflamed-pingueculum.html Slide 30 – Pterygium Regents of the University of Michigan (The Eyes Have It) http://www.kellogg.umich.edu/theeyeshaveit/red-eye/pterygium.html Slide 31 – Source Undetermined Slide 34 – Source Undetermined Slide 35 – Source Undetermined Slide 36 – Source Undetermined Slide 37 – Source Undetermined Slide 38 – Source Undetermined Slide 39 – Source Undetermined Slide 40 – Source Undetermined Slide 41 – Source Undetermined Slide 42 – Source Undetermined Slide 44 – Anterior uveitis Regents of the University of Michigan (The Eyes Have It) http://www.kellogg.umich.edu/theeyeshaveit/red-eye/anterior-uveitis.html Slide 45 – Source Undetermined Slide 46 – Acute angle closure glaucoma Regents of the University of Michigan (The Eyes Have It) http://www.kellogg.umich.edu/theeyeshaveit/red-eye/angleclosure-glaucoma.html Slide 47 – Source Undetermined Slide 48 – Source Undetermined Slide 49 – Source Undetermined Slide 50 – Source Undetermined Slide 52 – Source Undetermined Slide 53 – Source Undetermined