Red Eye

Source: EyeRounds.org. Contributor: William Charles Caccamise, Sr, MD, Retired Clinical Assistant Professor of Ophthalmology, University of Rochester School of Medicine and Dentistry.

History

History of atopic disease (eczema, asthma, hayfever)
Acute contact with allergen (acute allergic conjunctivitis)
Seasonal (seaonal allergic conjunctivitis)

Symptoms

Itching
Tearing
Intermittent blurry vision

Signs

Bilateral
Eyelid oedema
Cornea normal
Diffuse conjunctival injection
Papillae
Watery to stringy mucoid discharge
Lack preauricular lymph nodes.

Management

Cold compresses
Artificial tears
Topical mast cell stabilizers eg Gutte sodium cromoglycate qds 1/12

Source: EyeRounds.org. Contributor: William Charles Caccamise, Sr, MD, Retired Clinical Assistant Professor of Ophthalmology, University of Rochester School of Medicine and Dentistry.

The conjunctival vessels are the most superficial
In conjunctivitis they become diffuse and inflamed between the limbus and out towards the fornices.

Source: EyeRounds.org. Contributor: Jordan M. Graff, M.D., University of Iowa.

Papillae are raised areas of inflammation. They differ in appearance from follicles by having a central blood vessel, within the raised area. Papillae >1mm are labelled as giant papillary conjunctivitis.

Discharge	Likely type of conjunctivitis
Watery	Acute Viral Allergic
Mucoid	Source: EyeRounds.org. Chronic Allergic Dry eye
Mucopurulent	Acute Bacterial Chlamydial
Purulent	Gonococcal

Papillae are raised areas of inflammation.

They differ in appearance from follicles by having a central blood vessel, within the raised area.

Papillae >1mm are labelled as giant papillary conjunctivitis.

Unit 9: Red Eye

3: Allergic Conjunctivitis

History

Symptoms

Signs

Management

3: Allergic Conjunctivitis

History

Symptoms

Signs

Management

Hyperaemia

Papillae

Conjunctival Discharge

Papillae