Presentation on theme: "WAOPS Spring Conference May 31, 2014 The Waters at Minocqua 8116 US 51 South Minocqua, WI Shiloh A. Simons, DO Ministry Medical Group Ophthalmology Stevens."— Presentation transcript:
WAOPS Spring Conference May 31, 2014 The Waters at Minocqua 8116 US 51 South Minocqua, WI Shiloh A. Simons, DO Ministry Medical Group Ophthalmology Stevens Point, WI The Red Eye
History Symptoms: itching, discharge, irritation, pain, photophobia, blurred vision Unilateral or bilateral presentation Character of discharge Recent exposure to an infected individual Trauma: mechanical, chemical, ultraviolet Contact lens wear: lens type, hygiene, and use regimen Systemic diseases (e.g., genitourinary discharge, dysuria, dysphagia, upper respiratory infection, skin and mucosal lesions) Allergy, asthma, eczema Use of topical and systemic medications Red Eye Workup
External Exam Regional lymphadenopathy, particularly preauricular Skin: signs of rosacea, eczema, seborrhea Abnormalities of the eyelids: swelling, discoloration, malposition, laxity Conjunctiva: pattern of injection, subconjunctival hemorrhage, chemosis, cicatricial change Red Eye Workup
Slit-lamp Exam Eyelid margins: inflammation, vesicles Eyelashes: loss of lashes, trichiasis Lacrimal puncta and tear film Conjunctiva: injection, papillae, follicles Cornea: Epithelial defects, punctate keratopathy, dendrites, filaments, ulceration, subepithelial infiltrates Anterior chamber/iris: cells, flare, synechiae, transillumination defects Red Eye Workup
Diagnostic Testing Cultures: Bacterial, Viral, Chlamydial : Suspected cases of adult and in all cases of suspected neonatal conjunctivitis. Smears/Cytology: Smears for cytology and special stains (Gram, Giemsa) Blood Tests Biopsy: Conjunctival biopsy may be helpful in cases of conjunctivitis unresponsive to therapy. Red Eye Workup
References American Academy of Ophthalmology. Preferred Practice Patterns. San Francisco: American Academy of Ophthalmology, The Wills Eye Manual. 6 th ed. Office and Emergency Room Diagnosis and Treatment of Eye Disease. Philadelphia: Lippincott Williams and Wilkins, 2012.