Eye Erythema
Age: years old
Gender:
HISTORY:
Presents with a - history of red eye
Onset was , started
Worsening factors:
Alleviating factors: ,
Associated symptoms: *Try using right-click for negatives*
, up to °, over
,
, of phlegm
Contributing factors:
no history of: , , , , , ,
no use of:
EXAM:
Eyes:
- Eyelids/lashes: ,
- Conjunctiva/sclera: ,
- Cornea: ,
- Anterior chamber: ,
- Pupil:
- Extraocular movements:
- Visual fields: ,
- Intraocular pressure: right mmHg, left mmHg,
- Fundoscopy: ,
- Visual acuity: right 20/, left 20/
ASSESSMENT:
DDx: viral conjunctivitis, bacterial conjunctivitis, allergic conjunctivitis, irritant conjunctivitis, dry eye syndrome, subconjunctival hemorrhage, acute angle-closure glaucoma, uveitis, keratitis, corneal abrasion, foreign body in the eye, blepharitis, scleritis, episcleritis, chemical burn, iritis, herpes simplex keratitis, herpes zoster ophthalmicus, endophthalmitis, orbital cellulitis, contact lens-related issues, pterygium, pinguecula
PLAN:
Investigations:
- Conjunctival swab for culture
Treatments:
-
-
-
-
-
- Avoid touching or rubbing eyes
- Avoid contact lens use
- Hand hygiene education
- Cool compresses to eyes as needed
- Avoid contact with others
Further care:
- Referral to ophthalmology
- Follow-up in days
- Return if symptoms worsen or vision changes
HISTORY: Associated symptoms: EXAM: Eyes: ASSESSMENT: PLAN: