Medical history (history of the patient) represents an important component in the diagnosis of “acute eye redness with pain“. Family history What is the general health of your relatives? Are there any diseases in your family that are common? Are there any hereditary diseases in your family? Social history What is your profession? Are you … Eye Redness with Pain: Medical History
Eyes and ocular appendages (H00-H59). Acute inflammation of the orbit (eye socket). Bacterial (kerato)conjunctivitis in contact lens wearers: bacterial conjunctivitis with acanthamoeba or Pseudomonas aeruginosa. Ectropion of the lower eyelid (outward tilting of the eyelid; mostly of the lower eyelid) – clinical picture: there is as a result of lagophthalmos (incomplete closure of the eyelid) … Eye Redness with Pain: Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Eyes and conjunctiva (ocular conjunctiva) [foreign body exposure?] Ophthalmological examination Slit lamp: assessment of conjunctiva, cornea (cornea), sclera (sclera; outer covering of the eyeball), lens, … Eye Redness with Pain: Examination
Laboratory parameters of the 2nd order – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification Small blood count Differential blood count Inflammatory parameter – CRP (C-reactive protein) Rheumatism diagnostics – CRP (C-reactive protein) or BSG (blood sedimentation rate); rheumatoid factor (RF), CCP-AK (cyclic citrulline peptide antibodies), ANA (antinuclear … Eye Redness with Pain: Test and Diagnosis
Obligatory medical device diagnostics Ophthalmoscopy (ophthalmoscopy). Slit lamp examination (slit lamp microscope). Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics and obligatory medical device diagnostics – for differential diagnostic clarification. Tonometry (intraocular pressure measurement) Computed tomography or magnetic resonance imaging of the skull (cranial CT / MRI) … Eye Redness with Pain: Diagnostic Tests
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 … Eye Redness with Pain: Symptoms, Complaints, Signs
