The Red Eye Differential Diagnosis Dr Isam AlQurainy

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The Red Eye Differential Diagnosis Dr Isam Al-Qurainy 1

The Red Eye Differential Diagnosis Dr Isam Al-Qurainy 1

Differential Diagnosis of “red eye” Dr Isam Al-Qurainy 2

Differential Diagnosis of “red eye” Dr Isam Al-Qurainy 2

Conjunctivitis Follicles Papillae Redness Chemosis Dr Isam Al-Qurainy Purulent discharge 3

Conjunctivitis Follicles Papillae Redness Chemosis Dr Isam Al-Qurainy Purulent discharge 3

Subconjunctival Haemorrhage • Diffuse or localised area of blood under conjunctiva. Asymptomatic • Idiopathic,

Subconjunctival Haemorrhage • Diffuse or localised area of blood under conjunctiva. Asymptomatic • Idiopathic, trauma, cough, sneezing, aspirin, HT • Resolves within 10 -14 days Dr Isam Al-Qurainy 4

Dry Eye Syndrome • Poor quality – Meibomian gland disease, Acne rosacea – Lid

Dry Eye Syndrome • Poor quality – Meibomian gland disease, Acne rosacea – Lid related – Vitamin A deficiency • Poor quantity – KCS • Sjogren Syndrome • Rheumatoid Arthritis – Lacrimal disease ie, Sarcoidosis – Paralytic ie, VII CN palsy Dr Isam Al-Qurainy 5

Corneal Abrasion • • Surface epithelium sloughed off. Stains with fluorescein Usually due to

Corneal Abrasion • • Surface epithelium sloughed off. Stains with fluorescein Usually due to trauma Pain, FB sensation, tearing, red eye Dr Isam Al-Qurainy 6

Dr Isam Al-Qurainy 7

Dr Isam Al-Qurainy 7

Corneal Ulcer • Infection – Bacterial: Adnexal infection, lid malposition, dry eye, CL –

Corneal Ulcer • Infection – Bacterial: Adnexal infection, lid malposition, dry eye, CL – Viral: HSV, HZO – Fungal: – Protozoan: Acanthamoeba in CL wearer • Mechanical or trauma • Chemical: Alkali injuries are worse than acid Dr Isam Al-Qurainy 8

Dr Isam Al-Qurainy 9

Dr Isam Al-Qurainy 9

Episcleritis • Superficial • Idiopathic, collagen vascular disorder (RA) • Asymptomatic, mild pain •

Episcleritis • Superficial • Idiopathic, collagen vascular disorder (RA) • Asymptomatic, mild pain • Self-limiting or topical treatment Dr Isam Al-Qurainy 10

Scleritis • Deep • Idiopathic • Collagen vascular disease (RA, AS, SLE, Wegener, PAN)

Scleritis • Deep • Idiopathic • Collagen vascular disease (RA, AS, SLE, Wegener, PAN) • Zoster • Sarcoidosis • Dull, deep pain wakes patient at night • Systemic treatment with NSAI or Prednisolone if severe Dr Isam Al-Qurainy 11

Dr Isam Al-Qurainy 12

Dr Isam Al-Qurainy 12

Dr Isam Al-Qurainy 13

Dr Isam Al-Qurainy 13

Uveitis Anterior: acute recurrent and chronic Posterior: vitritis, retinal vasculitis, retinitis, choroiditis Panuveitis: anterior

Uveitis Anterior: acute recurrent and chronic Posterior: vitritis, retinal vasculitis, retinitis, choroiditis Panuveitis: anterior and posterior Dr Isam Al-Qurainy 14

Anterior uveitis (iritis) • Photophobia, red eye, decreased vision • Idiopathic. Commonest • Associated

Anterior uveitis (iritis) • Photophobia, red eye, decreased vision • Idiopathic. Commonest • Associated to systemic disease – Seronegative arthropathies: AS, IBD, Psoriatic arthritis, Reiter’s – Autoimmune: Sarcoidosis, Behcets – Infection: Shingles, Toxoplasmosis, TB, Syphillis, HIV Dr Isam Al-Qurainy 15

Ciliary flush Posterior synechiae Fibrin Flare Hypopyon KPs Dr Isam Al-Qurainy 16

Ciliary flush Posterior synechiae Fibrin Flare Hypopyon KPs Dr Isam Al-Qurainy 16

Dr Isam Al-Qurainy 17

Dr Isam Al-Qurainy 17

Acute Angle-closure Glaucoma • Symptoms – Pain, headache, nauseavomiting – Redness, photophobia, – Reduced

Acute Angle-closure Glaucoma • Symptoms – Pain, headache, nauseavomiting – Redness, photophobia, – Reduced vision Ciliary hyperaemia – Haloes around lights Dilated pupil Corneal oedema Dr Isam Al-Qurainy 18

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Dr Isam Al-Qurainy 19

Dr Isam Al-Qurainy 20

Dr Isam Al-Qurainy 20

Dr Isam Al-Qurainy 21

Dr Isam Al-Qurainy 21

Dr Isam Al-Qurainy 22

Dr Isam Al-Qurainy 22

RED EYE differential diagnosis RED EYE l RedRED EYE differential diagnosis RED EYE l Red
RED EYE differential diagnosis RED EYE l RedRED EYE differential diagnosis RED EYE l Red
DIFFERENTIAL DIAGNOSIS the lower limb pain Differential diagnosisDIFFERENTIAL DIAGNOSIS the lower limb pain Differential diagnosis
DIFFERENTIAL DIAGNOSIS the lower limb pain Differential diagnosisDIFFERENTIAL DIAGNOSIS the lower limb pain Differential diagnosis
Eye problems The red eye The dry eyeEye problems The red eye The dry eye
Common eye conditions Red eye Conjunctivitis Dry eyeCommon eye conditions Red eye Conjunctivitis Dry eye
RED EYE a Differential Diagnosis M F AlRED EYE a Differential Diagnosis M F Al
The Differential Diagnosis of The Red Eye ByThe Differential Diagnosis of The Red Eye By
Fixing Red Eye The Red Eye tool LocatedFixing Red Eye The Red Eye tool Located
Red Painful Eye Anatomy Red painfull Eye 1Red Painful Eye Anatomy Red painfull Eye 1
Fixing Red Eye The Red Eye tool LocatedFixing Red Eye The Red Eye tool Located
RED EYE Prof Dr Ilgaz YALVA RED EYERED EYE Prof Dr Ilgaz YALVA RED EYE
RED EYE Prof Dr Ilgaz YALVA RED EYERED EYE Prof Dr Ilgaz YALVA RED EYE
Red acadmica y Red comercial Red Acadmica RedRed acadmica y Red comercial Red Acadmica Red
Partial Differential Total Differential Total Differential of FunctionPartial Differential Total Differential Total Differential of Function
Differential Equations Ordinary differential equation ODE Partial differentialDifferential Equations Ordinary differential equation ODE Partial differential
Solving Differential Equations Solving Differential Equations A differentialSolving Differential Equations Solving Differential Equations A differential
Differential Equations ordinary differential equations Definition A differentialDifferential Equations ordinary differential equations Definition A differential
Chapter 3 DIFFERENTIAL ENCODING Differential Encoding Eye PatternsChapter 3 DIFFERENTIAL ENCODING Differential Encoding Eye Patterns
Chapter 3 DIFFERENTIAL ENCODING Differential Encoding Eye PatternsChapter 3 DIFFERENTIAL ENCODING Differential Encoding Eye Patterns
Eye Tracking Eye tracking follows the eye movementsEye Tracking Eye tracking follows the eye movements