The Curbsiders Internal Medicine Podcast #89 Conjunctivitis: Red Eye in Pr-eye-mary Care with Dr Glaucomflecken
Apr 2, 2018
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Red Eye Referral
- Refer patients with red eyes, especially contact lens wearers, to ophthalmology within 48 hours if they have photophobia and mild burning.
- This is often a sign of a corneal ulcer, which needs prompt treatment.
Urgent Eye Symptoms
- Prioritize vision and pain complaints when assessing eye problems, especially with corneal or conjunctival issues.
- Refer patients with vision loss, nausea, or vomiting to an ophthalmologist within 24 hours.
Basic Eye Exam
- Check vision with correction, pupils (in a dark room), and eye motility.
- Assess visual fields and consider checking eye pressure if you have a tonopen.