Acute Reye

Acute Red Eye Dr Karnesh Patel

Classification Vision  Pain  IOP  Redness  Location 

Conjunctivitis Protective mechanisms  Bacterial: 

 Pathogens  Features  Investigation  Management  Gonococcus

Conjunctivitis Viral  Chlamydial  Allergic  Toxic 

Conjunctivitis Type

Sx

Bacterial

Red Sticky Gritty

Viral

Red Watery Gritty

Onset

VA

Acute Normal or near normal Hyperacute when discharge blinked away Acute Reduced VA and photophobia suggests other involvement

Hx

Discharge

Chemosis

Lids

PAL

± Known contact

Purulent

Mild

Papillae

Occasional

± Known contact

Watery

Moderate

Follicles

Common

Sexual history

Mucopurulent

Mild

Follicles

Common

Chlamydial

Red Persistent Discharge

Subacute

Allergic

Red Itchy Swelling

Acute Subacute Recurrent

Atopy

Watery

Severe

Papillae

No

Toxic

Discomfort Redness worse with more drops

Acute

Medication

Minimal

Mild

Follicles

No

Others Scleritis  Episcleritis  Keratitis  Anterior uveitis  Corneal foreign body  Corneal abrasion 