Page 96 - The Indian Digital Edition September-October 2020

A History taking: Chief complaint,
causative factor(s), present status,
etc.

B Eye Examination
I Torchlight examination includes

 Assessment of various parts
of conjunctiva, sclera, epi-sclera,
cornea, aqueous humor, various
parts of iris, and pupillary reflexes,
and the red glow from the pupil.
II Slit-lamp Examination reveals

 Swelling and vascularisation of
the bulbar conjunctiva

 Redness, rashes, and discharges in
the fornix part of the conjunctiva
c. Fungal conjunctivitis or b. Dilated pupil in case of the angle-
xerophthalmia: The eye appears to closure type of glaucoma  Swelling and vascularisation,
be dry folders, cobblestones, scarring and
6 Blur Vision associated with neovascularisation of the palpebral
d. Ocular trauma and hemorrhage: a. Excessive discharge in case conjunctiva
Blood cells
of bacterial, viral, and allergic III Fundus examination
e. Blockage in the lacrimal drainage conjunctivitis
system: Clear  Ophthalmoscopy
b. Corneal opacity in case of
3 Swelling of eyelid bacterial, viral, and fungal IV Assessment of media in cases of
conjunctivitis foreign body
a. In case of allergic conjunctivitis
c. Retinal complications in the case  Ultrasonography, an X-ray orbit(s),
b. In the case of ocular trauma Computer Tomography (CT) scan,
of panuveitis and glaucoma
4 Sensation and Magnetic resonance imaging
CLINICAL EXAMINATION OF (MRI).
a. Gritty feeling and foreign body RED EYE PATIENTS
sensation is common in almost all Systematic and guided steps of eye
red-eye condition which is slightly examination lead to a conclusive result RED EYE
high in case of foreign body in the which helps us in CONDITION
eye and fungal conjunctivitis
1 Exploring factors causing red eye CAN BE VISION
b. Itching in case of allergic THREATENING,
conjunctivitis and blepharitis 2 Finding accurate diagnosis
THEREFORE,
c. Pain in corneal ulcer, iridocyclitis, 3 Faster treatment and recovery EARLY DIAGNOSIS
ocular trauma, and angle-closure 4 Assessment of the impact of the
glaucoma AND PROPER
treatment process
5 Pupillary Size TREATMENT IS
The patient comes to the eye CRUCIAL IN ITS
a. Constricted pupil and clinic with red-eye. He/she should be
photophobia (poor tolerance to thoroughly examined to identify factors MANAGEMENT
light) in case of panuveitis causing a red eye.

| SEPT-OCT 2020 | 92 CLINICAL