Red eye (peds)

Differential Diagnosis

• Corneal Abrasion and Foreign Body
• Corneal infection (consider herpes/chlamydia)

Evaluation

• EXAM: Fluorescein to rule out corneal abrasion and herpes keratitis

Management

• Infectious: oral erythromycin + ceftriaxone (for N. gonorrhoea)
• Conjunctivitis + respiratory symptoms/abnormal CXR or otitis media: (if younger than 3 mos) oral macrolide

See Also

Eye Algorithms

• Red eye
  • Bilateral red eyes
  • Unilateral red eye
  • Red eye (by symptoms)
  • Red eye (peds)
    • Neonatal conjunctivitis
• Periorbital swelling
• Acute vision loss (noninflamed)
• Acute onset flashers and floaters
• Painful eyes with normal exam
• Neonatal eye problems