Red eye (peds)
Background
Clinical Features
Differential Diagnosis
- Corneal Abrasion and Foreign Body
- Corneal infection (consider herpes/chlamydia)
Unilateral red eye
- Acute angle-closure glaucoma^
- Anterior uveitis
- Conjunctivitis
- Corneal erosion
- Corneal ulcer^
- Endophthalmitis^
- Episcleritis
- Herpes zoster ophthalmicus
- Inflamed pinguecula
- Inflamed pterygium
- Keratoconjunctivitis
- Keratoconus
- Nontraumatic iritis
- Scleritis^
- Subconjunctival hemorrhage
- Orbital trauma
^Emergent diagnoses
^^Critical diagnoses
Evaluation
- EXAM: Fluorescein to rule out corneal abrasion and herpes keratitis
Management
- Infectious: oral erythromycin + ceftriaxone (for N. gonorrhoeae)
- Conjunctivitis + respiratory symptoms/abnormal CXR or otitis media: (if younger than 3 mos) oral macrolide
Disposition
See Also
External Links
References
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