Eye Redness with Pain: Symptoms, Complaints, Signs

The following symptoms and complaints may occur along with “acute eye redness”:

Leading symptom

  • Eye redness

Associated symptoms

  • Pain
  • Tear flow
  • Visual disturbances
  • Corneal opacity

Notes

  • Bilateral acute eye redness is usually due to conjunctivitis (inflammation of the conjunctiva).
  • If there is any doubt about the diagnosis, an ophthalmological clarification should be made.

Caveat.

  • If there is a foreign body in the eye, it must be determined whether it has entered the eye at high speed (Cave! intraocular (“inside the eye”) foreign body?!).
  • Do not use a mydriatic (pupil dilating (mydriasis) drug) to avoid triggering a glaucoma attack!
  • Do not use corticosteroid eye drops until a herpetic ulcer (ulcer due to herpes infection) has been safely ruled out.

Warning signs (red flags)

  • Extremely hard eyeball + sudden loss of vision (seeing fog; seeing haze), usually unilateral + severe headache (forehead headache) + seeing color rings (halos) + gastrointestinal symptoms/gastrointestinal distress (vomiting, nausea) → think of: Glaucoma attack (ophthalmological emergency!).