Ocular and periocular diagnoses

Background

Eye anatomy.

Anterior view of the right eye, with lacramal duct shown medial.

The tarsi and their ligaments. Right eye; anterior view.

Clinical Features

Eye images

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  Hemorrhagic chemosis
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  Acute angle closure glaucoma (right)
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  Anterior uveitis
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  Anterior uveitis with hypopyon
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  Teardrop pupil
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  Corneal abrasion
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  Airbag corneal abrasion
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  Corneal foreign body
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  Corneal ulcer
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  Episcleritis
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  Herpes simplex corneal ulcer
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  Pinguecula
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  Pterygium
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  Proptosis
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  Pterygium
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  Scleritis
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  Subconjunctival hemorrhage
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  Trachoma
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  Trachoma
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  Traumatic hyphema
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  External stye
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  Internal stye

Conjunctivitis Images

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  Bacterial conjunctivitis
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  Viral conjunctivitis
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  Epidemic keratoconjunctivitis
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  Herpes zoster ophthalmicus
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  Herpes simplex keratitis
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  Chlamydial conjunctivitis
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  Gonorrheal conjunctivitis
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  Acute allergic conjunctivitis
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  Chronic allergic conjunctivitis
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  Contact blepharoconjunctivitis

Differential Diagnosis

Algorithm for the evaluation of red/painful eye

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

Evaluation

• Eye exam

Management

• Diagnosis dependent

Disposition

• Diagnosis dependent

See Also

• Diagnoses by body part (main)

External Links

• Summary review: http://www.emdocs.net/approach-to-the-red-eye/
• Central vs Peripheral Vision loss algorithms: http://www.emdocs.net/central-vs-peripheral-vision-loss/