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The red eye

J Bertolini1, M Pelucio

  • 1Department of Emergency Medicine, Marian Health Center, Sioux City, Iowa, USA.

Emergency Medicine Clinics of North America
|August 1, 1995
PubMed
Summary

The red eye is a common emergency department issue. Conjunctivitis is the usual cause, but serious conditions require prompt diagnosis and careful treatment, avoiding steroids unless certain.

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Area of Science:

  • Ophthalmology
  • Emergency Medicine

Background:

  • The red eye is a frequent presentation in emergency departments.
  • Accurate diagnosis relies on thorough patient history and targeted eye examination.

Purpose of the Study:

  • To outline diagnostic and therapeutic strategies for the red eye in an emergency setting.
  • To differentiate common causes like conjunctivitis from more serious conditions.

Main Methods:

  • Review of clinical presentation, history taking, and ophthalmologic examination findings.
  • Differential diagnosis of red eye causes, including infectious, allergic, and other pathologies.
  • Guidelines for emergency department management, emphasizing appropriate use of corticosteroids.

Main Results:

  • Red eye without photophobia, pain, or visual disturbance typically indicates conjunctivitis.
  • Presence of photophobia, pain, or visual disturbance necessitates investigation for severe causes.
  • Infectious and allergic causes are common considerations for conjunctivitis.

Conclusions:

  • A systematic approach combining history and examination is crucial for red eye diagnosis.
  • Corticosteroid use in the emergency department for red eye is reserved for confirmed diagnoses with ophthalmologic consultation.

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