Page 98 - The Indian Digital Edition September-October 2020

V Assessment of function of Eye f. Foreign bodies – removal of
– Impact of the red-eye on the GRITTY FEELING foreign body
posterior segment of Eye
AND FOREIGN 3 Ocular Trauma
 Visual Acuity: Uniocularly and BODY SENSATION a. Haemorrhage – Pad and
binocularly, distance and near vision, IS COMMON IN bandages
vision with and without glasses/ ALMOST ALL RED-
contact lenses, and also with the b. Internal Bleeding – proper
pinhole to assess the possibility of EYE CONDITION medication to control it
refractive error. WHICH IS SLIGHTLY c. Chemical injuries – irrigation
HIGH IN CASE
 Refraction: This is done using the d. Blunt injuries – pad and bandages
objective and subjective method. OF FOREIGN after assessment of damage
BODY IN THE EYE
All these examinations lead to 4 Systemic diseases
conclusive identification of the diagnosis AND FUNGAL
of the Red Eye and finding factors that CONJUNCTIVITIS a. Diabetes – management of
lead to the red eye. diabetes

MANAGEMENT OF THE g. Eye lid disease – Trichiasis, b. Hypertension – management of
RED EYE Entropion and Ectropion – Epilation hypertension
and Surgical adjustment of the c. Glaucoma – angle-closure
Red eye condition can be vision eyelid
threatening, therefore, early diagnosis glaucoma – anti glaucoma drugs
and proper treatment is crucial in h. Orbital cellulitis and d. Hyper cholesterol and cardio-
its management. This treatment Endophthalmitis – IV injections vascular disease – cardio-vascular
should be under the supervision of an of antibiotics with anti-VEGF or medicine
ophthalmologist or eye specialist. vitreoretinal surgery
e. Arthritis – management of arthritis
i. Acute dacryocystitis – Probing and
Management of factors causing f. Age-related disease – anti ageing
red eye are classified into the following Syringing and dacryocystitis surgery drugs and vitamins
categories 2 Inflammation
5 Drug-induced
1 Infection a. Allergic conjunctivitis – anti-
inflammatory drugs a. Alcohol – management of alcohol
a. Bacterial conjunctivitis – antibiotic addiction
eye drops b. Keratitis – antibiotics and anti-
inflammatory drugs b. Neurological drugs – management
b. Fungal conjunctivitis – antifungal of drug addiction
eye drops c. Episcleritis and scleritis –
antibiotics and anti-inflammatory Red eye is a critical symptom that
c. Viral conjunctivitis – antiviral drugs should not be ignored and immediate
eye drops action should be undertaken to avoid
d. Iridocyclitis – antibiotics, anti- any permanent damage to the eye. We
d. Protozoal conjunctivitis – inflammatory and cycloplegic drugs should do an early diagnosis of all such
antiprotozoal drugs
e. Conjunctivitis secondary to cases and refer to ophthalmologists
e. Pterygium and pinguecula various environmental factors – without any delay to prevent any
– Antihistamine and surgical radiations, temperature, pollutants, permanent loss of vision/eye. Eyes are
intervention if required or other causative factors should be the most precious gift of God by which
removed. Minimised exposure along we can see things around us and interact
f. Corneal ulcer – Antibiotics and with anti-allergic and astringent eye with each other, therefore, we should
steroids under guided prognosis drops are used take care of them for better eyesight.

| SEPT-OCT 2020 | 94 CLINICAL