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==CAUSTIC CONTAMINATION==
==Caustic Contamination==
-caustic keratoconjunctivitis**
#caustic keratoconjunctivitis**===
 
##[anesth/irrigation until ph 7/optho]
[anesth/irrigation until ph 7/optho]
##...alkaline exp requires min 4L over 40min
 
...alkaline exp requires min 4L over 40min


==PROPTOSIS or EXT SWELLING==
==PROPTOSIS or EXT SWELLING==
-blepharitis
#blepharitis
 
##[warm compresses 15min 4x/day, scrub w/ mild shampoo BID, outpt optho]
[warm compresses 15min 4x/day, scrub w/ mild shampoo BID, outpt optho]
#chalazion
 
#stye (hordeolum)
-chalazion
##[warm compress 15min 4xday, massage, optho if fails]
 
#dacrocystitis:inflammation lower eyelid near punctum
-stye (hordeolum)
##[oral analgesia, abx, optho]
 
#inflam pseudotumor: retrobulbar inflamm
[warm compress 15min 4xday, massage, optho if fails]
##[iop, systemic w/u, CT, steroids and optho]
 
#peri/orbital cellulitis*: orbital w/ systemic sx
 
##[CTX/Vanco, cx, CT, admit]
-dacrocystitis:inflammation lower eyelid near punctum
#retrobulbar abscess/emphysema/hematoma**
 
##[iop, abx, correct coagulopathy, admit]
[oral analgesia, abx, optho]
#orbital tumor*
 
##[iop, ct, optho]
 
-inflam pseudotumor: retrobulbar inflamm
 
[iop, systemic w/u, CT, steroids and optho]
 
 
-peri/orbital cellulitis*: orbital w/ systemic sx
 
[CTX/Vanco, cx, CT, admit]
 
-retrobulbar abscess/emphysema/hematoma**
 
[iop, abx, correct coagulopathy, admit]
 
 
-orbital tumor*
 
[iop, ct, optho]
 
   
   
==SEVERE PAIN or FB SENSATION==
==SEVERE PAIN or FB SENSATION==
-keratitis*
#keratitis*
 
##[r/o penetration, tetanus, topical abx, optho referral]
[r/o penetration, tetanus, topical abx, optho referral]
#keratoconjunctivitis
 
#epi/scleritis
 
#anterior uveitis*
 
##[optho recs]
-keratoconjunctivitis
#acute angle-closure glaucoma**
 
##[iop, timolol, apraclonidine, prednisolone, pilocarpine, mannitol 2g/kg IV]
-epi/scleritis
#hyphema*
 
##[r/o rupture, head elevation, optho]
-anterior uveitis*
#endophthalmitis*
 
##[CTX, vanco; admit to optho]
[optho recs]
 
 
-acute angle-closure glaucoma**
 
[iop, timolol, apraclonidine, prednisolone, pilocarpine, mannitol 2g/kg IV]
 
 
-hyphema*
 
[r/o rupture, head elevation, optho]
 
-endophthalmitis*
 
[CTX, vanco; admit to optho]
 
   
   
==FOCAL REDNESS or BULBAR CONJUNCTIVA==
==FOCAL REDNESS or BULBAR CONJUNCTIVA==
-inflamed pterygium
#inflamed pterygium
 
##[naphazoline/ketorolac drops, outpt referral]
[naphazoline/ketorolac drops, outpt referral]
#scleral penetration**
 
##[pain relief, antiemetic, tetanus, admit optho]
 
#subconjunctival hemorrhage
-scleral penetration**
##[hx re coagulopathy, reassure will resolve 2-3 wks]
 
[pain relief, antiemetic, tetanus, admit optho]
 
 
-subconjunctival hemorrhage
 
[hx re coagulopathy, reassure will resolve 2-3 wks]
 
   
   
==PURULENT DISCHARGE==
==PURULENT DISCHARGE==
#bacterial conjunctivitis*
##[peds: polymyxin B + trimethoprim ointment 10Ds OU]
##[adults: sulfacetamide or gent; cipro if pseudomonas; drops 10D OU]


-bacterial conjunctivitis*
[peds: polymyxin B + trimethoprim ointment 10Ds OU]
[adults: sulfacetamide or gent; cipro if pseudomonas; drops 10D OU]
==ITCHING SENSATION==
==ITCHING SENSATION==
#allergic conjunctivitis
##[naphazoline drops, oral antihistamines, outpt optho]


-allergic conjunctivitis
[naphazoline drops, oral antihistamines, outpt optho]
==TOPICAL MEDS or COSMETICS==
==TOPICAL MEDS or COSMETICS==
#contact dermatoconjunctivitis
#toxic conjunctivitis
##[irrigate, naphazoline drops, outpt for tx failure]


-contact dermatoconjunctivitis
-toxic conjunctivitis
[irrigate, naphazoline drops, outpt for tx failure]
==IF NONE OF ABOVE: (consider)==
==IF NONE OF ABOVE: (consider)==
 
#Chlamydia conjunctivitis
-Chlamydia conjunctivitis
##[PO erythromycin x 14D; CTX for gonorrhea]
 
#viral conjunctivitis
[PO erythromycin x 14D; CTX for gonorrhea]
##[naphazoline or ketorolac drops]
 
-viral conjunctivitis
 
[naphazoline or ketorolac drops]
 


==Source==
==Source==

Revisión del 21:27 14 jul 2011

Caustic Contamination

  1. caustic keratoconjunctivitis**===
    1. [anesth/irrigation until ph 7/optho]
    2. ...alkaline exp requires min 4L over 40min

PROPTOSIS or EXT SWELLING

  1. blepharitis
    1. [warm compresses 15min 4x/day, scrub w/ mild shampoo BID, outpt optho]
  2. chalazion
  3. stye (hordeolum)
    1. [warm compress 15min 4xday, massage, optho if fails]
  4. dacrocystitis:inflammation lower eyelid near punctum
    1. [oral analgesia, abx, optho]
  5. inflam pseudotumor: retrobulbar inflamm
    1. [iop, systemic w/u, CT, steroids and optho]
  6. peri/orbital cellulitis*: orbital w/ systemic sx
    1. [CTX/Vanco, cx, CT, admit]
  7. retrobulbar abscess/emphysema/hematoma**
    1. [iop, abx, correct coagulopathy, admit]
  8. orbital tumor*
    1. [iop, ct, optho]

SEVERE PAIN or FB SENSATION

  1. keratitis*
    1. [r/o penetration, tetanus, topical abx, optho referral]
  2. keratoconjunctivitis
  3. epi/scleritis
  4. anterior uveitis*
    1. [optho recs]
  5. acute angle-closure glaucoma**
    1. [iop, timolol, apraclonidine, prednisolone, pilocarpine, mannitol 2g/kg IV]
  6. hyphema*
    1. [r/o rupture, head elevation, optho]
  7. endophthalmitis*
    1. [CTX, vanco; admit to optho]

FOCAL REDNESS or BULBAR CONJUNCTIVA

  1. inflamed pterygium
    1. [naphazoline/ketorolac drops, outpt referral]
  2. scleral penetration**
    1. [pain relief, antiemetic, tetanus, admit optho]
  3. subconjunctival hemorrhage
    1. [hx re coagulopathy, reassure will resolve 2-3 wks]

PURULENT DISCHARGE

  1. bacterial conjunctivitis*
    1. [peds: polymyxin B + trimethoprim ointment 10Ds OU]
    2. [adults: sulfacetamide or gent; cipro if pseudomonas; drops 10D OU]

ITCHING SENSATION

  1. allergic conjunctivitis
    1. [naphazoline drops, oral antihistamines, outpt optho]

TOPICAL MEDS or COSMETICS

  1. contact dermatoconjunctivitis
  2. toxic conjunctivitis
    1. [irrigate, naphazoline drops, outpt for tx failure]

IF NONE OF ABOVE: (consider)

  1. Chlamydia conjunctivitis
    1. [PO erythromycin x 14D; CTX for gonorrhea]
  2. viral conjunctivitis
    1. [naphazoline or ketorolac drops]

Source

Adapted from Pani

Obtenido de «https://www.wikem.org/w/index.php?title=Red_eye_(by_symptoms)&oldid=3809»