#EMConf: Red Eye Pearls
Subconjunctival Hemorrhage should be painless - in the setting of trauma, patient should be stained and ruled out for globe rupture.
Conjunctivitis should be painless
- if it is painful, rethink your differential.
- if lasting 7 days or longer, follow up with ophthalmology for evaluation for epidemic keratoconjunctivitis.
Red Eye + Pain = fluorescein stain - rule out corneal abrasion and keratitis (bacterial v. viral v. non-infectious).
Vessels moving with Q-tip may point you toward episcleritis/ scleritis.
Uveitis is an important diagnosis as it causes 25% of blindness in the U.S.A.