Red eye resident survival guide (pediatrics): Difference between revisions

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'''This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.'''
'''This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.'''


[[Chest pain|Red eye]] is defined as a [[Discomfort|symptom of red eye]] as the major clinical finding. A detailed history, baseline ophthalmological tests, and accompanying manifestations can narrow down the differential diagnosis. The duration and laterality of symptoms (uni- vs. bilateral) and the intensity of pain are the main criteria allowing the differentiation of non-critical changes that can be cared for by a general practitioner from diseases calling for elective referral to an ophthalmologist and eye emergencies requiring urgent ophthalmic surgery.<ref name="pmid28530180">Frings A, Geerling G, Schargus M (2017) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=28530180 Red Eye: A Guide for Non-specialists.] ''Dtsch Arztebl Int'' 114 (17):302-312. [http://dx.doi.org/10.3238/arztebl.2017.0302 DOI:10.3238/arztebl.2017.0302] PMID: [https://pubmed.gov/: 28530180 : 28530180]</ref>
[[Chest pain|Red eye]] is defined as a [[Discomfort|symptom of red eye]] as the major clinical finding. A detailed history, baseline ophthalmological tests, and accompanying manifestations can narrow down the differential diagnosis. The duration and laterality of symptoms (uni- vs. bilateral) and the intensity of pain are the main criteria allowing the differentiation of non-critical changes that can be cared for by a general practitioner from diseases calling for elective referral to an ophthalmologist and eye emergencies requiring urgent ophthalmic surgery.<ref name="pmid28530180">Frings A, Geerling G, Schargus M (2017) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=28530180 Red Eye: A Guide for Non-specialists.] ''Dtsch Arztebl Int'' 114 (17):302-312. [http://dx.doi.org/10.3238/arztebl.2017.0302 DOI:10.3238/arztebl.2017.0302] PMID: [https://pubmed.gov/: 28530180 : 28530180]</ref><ref name="pmid20082509">Cronau H, Kankanala RR, Mauger T (2010) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=20082509 Diagnosis and management of red eye in primary care.] ''Am Fam Physician'' 81 (2):137-44. PMID: [https://pubmed.gov/PMID: 20082509 PMID: 20082509]</ref>


== Causes ==
== Causes ==
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==Treatment==
==Treatment==
Shown below is an algorithm summarizing the treatment of <nowiki>[[disease name]]</nowiki> according the the [...] guidelines.
Shown below is an algorithm summarizing the treatment of <nowiki>[[Red eye ]]</nowiki> according the the [...] guidelines.
{{familytree/start |summary=PE diagnosis Algorithm.}}
{{familytree/start |summary=PE diagnosis Algorithm.}}
{{familytree | | | | | | | | A01 |A01= }}  
{{familytree | | | | | | | | A01 |A01= }}  

Revision as of 14:39, 4 August 2020


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Eman Alademi, M.D.[2]

Red eye resident survival guide (pediatrics) Microchapters
Overview
Causes
FIRE
Diagnosis
Treatment
Do's
Don'ts

Overview

This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.

Red eye is defined as a symptom of red eye as the major clinical finding. A detailed history, baseline ophthalmological tests, and accompanying manifestations can narrow down the differential diagnosis. The duration and laterality of symptoms (uni- vs. bilateral) and the intensity of pain are the main criteria allowing the differentiation of non-critical changes that can be cared for by a general practitioner from diseases calling for elective referral to an ophthalmologist and eye emergencies requiring urgent ophthalmic surgery.[1][2]

Causes

Causes

Life Threatening Causes

Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.

Common Causes[3][4][5]

  • Viral conjunctivitis
  • bacterial
  • Iritis/iridocyclitis
  • Acute angle-closure glaucoma
  • Disorders of the ocular adnexa(Hordeolum-Eyelid malposition)
  • Carotid–cavernous sinus fistula
  • Eyelid malposition
  • Intraocular disorders
  • Episcleritis
  • Photokeratitis
  • Corneal erosion/ulceration
  • Subconjunctival hemorrhage
  • Allergic reactions
  • Non-infectious (kerato-)conjunctivitis
  • Contact lens

FIRE: Focused Initial Rapid Evaluation

Complete Diagnostic Approach

Shown below is an algorithm summarizing the diagnosis of [[red eye]] according the the [...] guidelines.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Treatment

Shown below is an algorithm summarizing the treatment of [[Red eye ]] according the the [...] guidelines.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Do's

  • The content in this section is in bullet points.

Don'ts

  • The content in this section is in bullet points.


References

  1. Frings A, Geerling G, Schargus M (2017) Red Eye: A Guide for Non-specialists. Dtsch Arztebl Int 114 (17):302-312. DOI:10.3238/arztebl.2017.0302 PMID: 28530180 : 28530180
  2. Cronau H, Kankanala RR, Mauger T (2010) Diagnosis and management of red eye in primary care. Am Fam Physician 81 (2):137-44. PMID: 20082509 PMID: 20082509
  3. Frings A, Geerling G, Schargus M (2017) Red Eye: A Guide for Non-specialists. Dtsch Arztebl Int 114 (17):302-312. DOI:10.3238/arztebl.2017.0302 PMID: 28530180 : 28530180
  4. Pflipsen M, Massaquoi M, Wolf S (2016) Evaluation of the Painful Eye. Am Fam Physician 93 (12):991-8. PMID: 27304768 PMID: 27304768
  5. Wong MM, Anninger W (2014) The pediatric red eye. Pediatr Clin North Am 61 (3):591-606. DOI:10.1016/j.pcl.2014.03.011 PMID: 24852155 PMID: 24852155


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