red eye

1. Not " THE RED EYE " Again! Stephen Brodovsky MD, FRCSC Associate Professor Dept of Ophthalmology University of Manitoba Private Practice Cataract/Corneal/Refractive Surgery

2. Ocular History & Examination Visual Acuity Pupils Motility Anterior segment (cornea & conjunctiva) Posterior segment Confrontation Fields Intraocular Pressure

4. Photophobia

5. ? Pupil Size ? Location of Injection

7. What is your provisional Diagnosis ? Iritis

9. Keratic Precipitates

10. Keratic Precipitates

14. Photophobia & Ciliary Injection Herpes Simplex Corneal Abrasion Corneal Ulcer

15. Corneal Ulcers: Rosacea & Blepharitis

16. Contact lens wearer & corneal ulcer ALWAYS ASK ABOUT CONTACT LENS WEAR!!!

17. Chronic Irritation

18. What is your provisional Diagnosis ? Dry Eye

21. Keratitis in Advanced Dry Eye

22. Schirmer Test Tear production measured

23. Rule-out Blepharitis Frequently co-exists with dry eye Erythema of lid margin Scales on Lashes Loss of Cilia

26. Acute Red Eye

30. What is your provisional Diagnosis ? Sub-conjunctival hemorrhage

31. Provisional Diagnosis Subconjunctival hemorrhage ? Trauma ? Blood Clotting ? Valsalva Maneuver ? Elevated BP

33. Red Eye with Discharge

35. What is your provisional Diagnosis ? Bacterial Conjunctivitis

37. Differential Diagnosis Lacrimal System Obstruction

41. Chronic Red Eye

44. Diagnosis ? Chronic Conjunctivitis Secondary to toxic or allergic reaction to topical medication

47. Itching

48. What is your provisional Diagnosis ? Allergic Conjunctivitis

49. Allergy Mast cells Factors Released: Histamine, Chemotactic factors, Prostaglandin synthesis IgE Allergen

51. Red Eye Summary Photophobia Chronic Irritation Acute Red Eye Red Eye with Discharge Chronic Red Eye Itching

52. Decreased Vision Post-Cataract Surgery

53. History of “Perfect Vision” then “Unable to Distinguish Material” in first week after Surgery

55. What is your provisional Diagnosis ? Endophthalmitis