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The red eye.

D S Howes1

  • 1University of Illinois College of Medicine, Chicago.

Emergency Medicine Clinics of North America
|February 1, 1988
PubMed
Summary
This summary is machine-generated.

Red eye is common, but vision changes or pain suggest serious issues. Infectious conjunctivitis requires Gram

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Area of Science:

  • Ophthalmology
  • Emergency Medicine

Background:

  • Red eye is a frequent emergency department presentation.
  • Conjunctivitis is the most common cause, typically without vision disturbance or pain.
  • Vision changes or pain necessitate suspicion of more serious ocular disorders.

Purpose of the Study:

  • To outline the diagnostic and management principles for red eye presentations.
  • To differentiate common conjunctivitis from sight-threatening conditions.
  • To emphasize appropriate treatment and follow-up for infectious and allergic conjunctivitis.

Main Methods:

  • Clinical assessment for red eye, including visual acuity and pain.
  • Gram's stain and culture for suspected infectious conjunctivitis.
  • Distinguishing features of allergic conjunctivitis and medication-induced conditions.

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Main Results:

  • Infectious conjunctivitis treatment involves topical antibiotics and comfort measures.
  • Allergic conjunctivitis responds to antihistamines.
  • Serious complications like keratitis or abscess formation can occur.
  • Ophthalmologic follow-up is crucial for all patients.

Conclusions:

  • Prompt diagnosis and appropriate management are key for red eye.
  • Distinguishing infectious from allergic conjunctivitis guides treatment.
  • Referral to ophthalmology ensures comprehensive care and complication management.
  • Avoidance of "shotgun" therapy is recommended when diagnosis is uncertain.