Sunday, February 19, 2012

Red eye

Red eye is an important sign and symptom of eye diseases. It can be
due to simple conjunctivitis to acute congestive glaucoma.
Here is a list of diseases that can cause red eye ...
1) conjunctivitis
2)congested pterygium and pinguecula





3)corneal foreign body, abrasion and ulcer
4)acute uveitis and iridocyclitis
5)acute congestive glaucoma
These can be differentiated by following ..
Symptoms
.Redness in eye:
Conjunctivitis causes diffuse redness but more on fornices.
Corneal ulcer and acute uveitis or iridocyclitis
causes circum corneal congestion
Acute congestive glaucoma causes diffuse redness
but more on circumcorneal region.
.Pain:
Conjunctivitis causes mild discomfort
Corneal ulcer and acute uveitis causes moderate pain
Acute congestive glaucoma causes severe pain with other
symptoms like vomiting
.Vision:
In conjunctivitis vision is normal
Corneal ulcer and acute uveitis or iridocyclitis causes
moderate decrease in vision
Acute congestive glaucoma causes total loss of vision
On Examination(Signs)
.Redness
.vision
.Pupil :
Normal in conjunctivitis
Constricted or small in acute uveitis or iridocyclitis
Dilated in acute congestive glaucoma
.Anterior chamber:
shallow in glaucoma
.Cornea:
Normal in conjunctivitis
Ulcer or abrasion in corneal ulcer
Keratic precipitates on endothelium in acute iridocyclitis
Hazy in congestive glaucoma
.Intra ocular pressure:
Normal in conjunctivitis
Normal or raised if synechiae in iridocyclitis
Markedly raised in acute congestive glaucoma

1 comment:

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