| | Redness
| Pain
| Vision loss
| Discharge
| Photophobia
| Notes | Conjunctivitis
| Diffuse
| No
| No
| Lots
Watery/sticky
| No
| Infective: Treat with chloramphenicol
Allergic: Treat with Optocron/Antihistamines
| Keratitis
(Corneal ulcer)
| Around ulcer
| +++
| Depends where it is
| Sticky/watery
| +++
| Viral: HSV1
Bacterial: Gram -ves (from contact lenses)
Fungal: Common in tropics | Uveitis/Iritis
| Ciliary flush
(Spreads from cornea)
| +
| +/-
| No
| ++
| Autoimmune (IBD, SLE, sarcoid, Ank Spond)
Steroids + Dilators to break up stickiness
| Acute angle closure glaucoma
| Diffuse
Unilateral
| +++
Also headache
| +++
| Watery
| +
| Fixed mid-dilated pupil, Headache, Vomiting
Treat with pilocarpine, acetazolamide, iridotomy
| | Preseptal Cellulitis | Eyelid | Tender | No | No | No | Normally bacterial
Mild disease, but may => orbital cellulitis in kids | | Orbital cellulitis | Conjunctiva + lids | ++ On movement | Blurred vision Reduced acuity Diplopia | | | Life-threatening disease
| | Episcleritis | Localised or diffuse | Mild
Grittiness | No | Watery | Mild | Common
Relatively benign | | Scleritis | Localised or diffuse | +++
Severe, boring
Radiates | + | Watery | + | Associated with systemic symptoms (e.g. RA) | | Endophthalmitis | Diffuse | +/- | + | | | Extremely serious complicaiton of eye surgery | | Subconjunctival haemorrhage | Depends on site | No | No | No | No | From trauma, straining, vomiting
Looks bad but harmless |
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