THE RED EYE

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THE RED EYE
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CAUSES OF A RED EYE

• Subconjunctival haemorrhage

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SUBCONJUNCTIVAL HAEMORRHAGE

• Common
• Painless
• Recurrent
• Haemorrhagic conjunctivitis

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CAUSES OF A RED EYE

• Subconjunctival haemorrhage
• Conjunctivitis

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CONJUNCTIVITIS

• Infective
• Bacterial
• Viral
• Chlamydia
• Ophthalmia neonatorum

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CONJUNCTIVITIS

• Infective
• Bacterial
• Viral
• Chlamydia
• Ophthalmia neonatorum
• Allergic
• Chemical

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CAUSES OF A RED EYE

• Subconjunctival haemorrhage
• Conjunctivitis
• Episcleritis/scleritis

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EPISCLERITIS/SCLERITIS

• Episcleritis
• Diffuse/nodular
• Scleritis
• Necrotising/non-necrotising
• Association with systemic disease
• Severity of pain

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CAUSES OF A RED EYE

• Subconjunctival haemorrhage
• Conjunctivitis
• Episcleritis/scleritis
• Corneal ulceration

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CORNEAL ULCERATION

• Bacterial
• staphylococcal/streptococcal
  pseudomonas
  - acanthamoeba

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CORNEAL ULCERATION

• Bacterial
• staphylococcal/streptococcal
  pseudomonas
  - acanthamoeba
• Viral
• herpetic disease

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CORNEAL ULCERATION

• Bacterial
• staphylococcal/streptococcal
  pseudomonas
  - acanthamoeba
• Viral
• herpetic disease
• Associated with systemic disease

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CAUSES OF A RED EYE

• Subconjunctival haemorrhage
• Conjunctivitis
• Episcleritis/scleritis
• Corneal ulceration
• Iritis

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Iritis

• Symptoms
• pain
• decreased vision
• photophobia
• floaters

• Signs
• red eye(ciliary injection)
• KPs
• AC cells/flare
• Posterior synaechia
• vitritis

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Iritis (continued)

• Aetiology
• In association with other illnesses
• Arthritidies
• Systemic diseases
• Infections
• Isolated ocular disease

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Iritis (continued)

• Treatment

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CAUSES OF A RED EYE

• Subconjunctival haemorrhage
• Conjunctivitis
• Episcleritis/scleritis
• Corneal ulceration
• Iritis
• Acute angle closure glaucoma

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ACUTE ANGLE CLOSURE GLAUCOMA

• Predisposing factors
• Symptoms - pain, decreased vision
• Signs - red eye, corneal oedema, IOP, mid dilated
  pupil

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ACUTE ANGLE CLOSURE GLAUCOMA

• Treatment

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CAUSES OF A RED EYE

• Subconjunctival haemorrhage
• Conjunctivitis
• Episcleritis/scleritis
• Corneal ulceration
• Iritis
• Acute angle closure glaucoma
• Trauma

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Trauma

• Blunt
• Perforating - ?IOFB

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