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  • 7.

    Holland E.J., Mannis M.J.: Ocular Surface Disease. Medical and Surgical Management. Springer Verlag, New York (2002)

  • 8.

    Tabbara K.F., Wagoner M.D.: Duagnosis and management of dry eye syndrome. Int. Ophthalmol. Clin. 36:61 (1996)

  • 9.

    Kanski J.J.: Clincal Ophthalmology. 4th ed., Butterworth, London – Oxford (2000)

SUGGESTED LITERATURE FOR FURTHER READING

  • -

    Bron J.A.: The Doyne Lecture. Reflections on Tears. Eye 11:583–602 (1997)

  • -

    Stern M.E., Pflugfelder S.C.: Inflammation in dry eye. The Ocular Surface 2:124 –130 (2004)

  • -

    Young S.E.: Managing the Red Eye. A slide script program. American Academy of Ophthalmology, San

Francisco (1988)

  • -

    Gross R.D.: Management of Red Eye. Alcon Pharmaceuticals, Forth Worth (2000)

  • -

    Trobe J.D.: The Physician’s Guide to Eye Care. American Academy of Ophthalmology, San Francisco

(1993)

  • -

    External Disease and Cornea: A Multimedia Collection. American Academy of Ophthalmology, San Francisco (1994)

  • -

    Ophthalmology Mongraph 8, Volume 1: Surgery of the Eyelid, Orbit, and Lacrimal System. American Academy of Ophthalmology, San Francisco (1993)

  • -

    Korb D.R., Craig J., Doughty M., Guillon J.P., Smith G., Tomlinson A.: The Tear Film. Structure, Function and Clinical Examination. Butterworth Heinemann, Oxford – Amsterdam – Boston (2002)

  • -

    Lang G.K.: Ophthalmology. A short textbook. Thieme, Stuttgart – New York (2000)

16

THE DIFFERENTIAL DIAGNOSIS OF THE RED EYE

RED EYE FLOWCHARTS Marek E. Prost

FIGURE I PATIENT WITH RED EYE – MAIN DECISION TREE

PATIENT WITH RED EYE

YES

Observe clarity of the surface of the cornea. If corneal opacity is seen, send to ophthalmologist.

YES

See allergic conjunctivitis section (II p. 28)

YES

See dry eye section (I p. 14, 23– 25)

YES

Bacterial conjunctivitis diagnosis – See section III p. 43

Treatment see section III p. 56

YES

Chlamydial conjunctivitis – Diagnosis see section III p. 46

Treatment see section III p. 56

Exclude Keratitis

Main sign – Itching Exclude allergic conjunctivitis

NO

Main sign – Burning Exclude dry eye

NO

Main sign – Purulent and sticky discharge

NO

Mucopurulent discharge, duration more than 2 – 3 weeks and recurrent

NO

Associated upper respiratory infection, enlarged lymph nodes

YES

Viral conjunctivitis diagnosis – See section III p. 44

Treatment see section III p. 56

THE DIFFERENTIAL DIAGNOSIS OF THE RED EYE

17

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