Red eye resident survival guide (pediatrics)

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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][6]

  • 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
  • blunt or penetrating trauma
  • foreign bodies

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
  6. ↑ Wirbelauer C (2006) Management of the red eye for the primary care physician. Am J Med 119 (4):302-6. DOI:10.1016/j.amjmed.2005.07.065 PMID: 16564769 PMID: 16564769


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