Page 95 - The Indian Digital Edition September-October 2020
P. 95

the bulbar region involving limbus  with cobblestones
                                               c. Scleritis or episcleritis: Redness in      h. Haemorrhage: Diffused redness
                                               the bulbar region slightly away from   seen below the conjunctival layer
                                               limbus (figure 8)
                                                                                  i. Hypopyon: Redness in aqueous
                                               d. Pterygium: Redness in the bulbar
                                               region involving limbus and the    humor
                                               corneal area                       j. Blepharitis, chalazion, and stye:
                                               e. Iridocyclitis or glaucoma or ocular   Redness in the eyelid margin
                                               trauma: Redness in the iris
                                                                               2  Ocular discharge
          3  OCULAR TRAUMA: Trauma to the      f. Pinguecula or pterygium: Redness
             eye might lead to sub-conjunctival   in the nasal or temporal region of      a. Viral and allergic conjunctivitis:
             bleeding also known as sub-       the bulbar conjunctiva             Clear
             conjunctival haemorrhage (figure
             9). Chemical injuries like the splash      g. Overuse of contact lenses:      b. Bacterial conjunctivitis: Purulent
             of household cleaning solution    Redness in upper tarsal conjunctiva   and sticky discharge
             invariably lead to severe red-eye and
             such patients should be referred to
             an ophthalmologist on an urgent
             basis. Often, blunt injuries to the
             eyes such as sports injury can lead to
             red-eye.
          4  OCULAR DISEASES: like angle-
             closure glaucoma, end-stage
             glaucoma (figure 10), etc. also lead
             to red-eye.

          5  SYSTEMIC DISEASES: like
             uncontrolled diabetes, high blood
             pressure, high cholesterol, heart and
             blood vessel diseases, arthritis, etc.
             also lead to a red-eye condition.
          6  DRUG-INDUCED: drug intoxication
             like alcohol consumption also leads
             to red-eye. Certain neurological
             conditions may also end up in
             red-eye.
          THE FOLLOWING SYMPTOMS
          ARE ASSOCIATED WITH RED
          EYES:

          1  Red eye
             a. Bacterial and viral conjunctivitis:
             Redness in the bulbar, forniceal,
             and palpebral conjunctiva involving
             the limbus

             b. Allergic conjunctivitis: Redness in

                                                                                   SEPT-OCT 2020  |  91  Clinical
   90   91   92   93   94   95   96   97   98   99   100