Halos, extreme pain, flattened anterior chamber, opaque cornea, unresponsive pupil NB: general symptoms Immediate referral to ophthalmologist following notification and hygiene measuresĮmergency, consult ophthalmologist immediately Nerve palsy, eyelid malposition, eyelid closure defectįrequently recurrent, deep injection of the sclera, investigate for systemic diseases Trauma, foreign body, eyelid malposition, eyelid closure defect Gradual onset, often initially unilateralĮxtreme symptoms, first on one side and then bilaterallyĪsk about causative agent, seasonal accumulation, general history: atopyĬhronic problem, often with a long historyĪrterial hypertension, blood pressure crises, trauma, foreign body event Another study from the same country concluded that literature for non-ophthalmologists is in short supply ( 5). In 10% of these cases there were serious clinical consequences ( 4). An Australian study found that 64% of patients with red eye treated by primary care physicians were diagnosed incorrectly. In the case of a foreign body event or other injury the patient should see an ophthalmologist immediately the same applies if the cardinal symptom is pain, vision loss, rock-hard eyeball, or corneal involvement. In general emergency rooms or in hospitals without a consulting ophthalmologist, non-specialists are confronted with the challenging decision of whether an urgent ophthalmological referral is necessary or not ( 1, 2). This corresponds to an average of 4 to 10 patients every week ( 2), the majority of whom have clinically apparent red eye ( 3). According to one study, eye problems are the reason for 2 to 3% of visits to primary care physicians and emergency facilities ( 1).
Every physician has been faced with the symptom “red eye” ( 1– 3).
0 kommentar(er)
