Red Eye in Adults and Older Children

Key Points

Red eye in adults and older children requires careful evaluation to differentiate the various causes of inflammation. Purulent conjunctival discharge warrants culturing and broad-spectrum antibiotics.

Allergic conjunctivitis generally responds well to topical treatment; symptoms may manifest or worsen on initiation of systemic antihistamines.

Figure 41-7 Acute hordeolum, or stye. The swollen, tender, red eyelid includes an acute, boil-like lesion. Treatment includes warm compresses and topical antibiotics. (From AAO. The Red Eye.)

• Orbital cellulitis requires prompt computed tomography and systemic antibiotics. Cultures should be obtained from the nasopharynx, conjunctiva, and blood.

• Iritis is characterized by pain, photophobia, miosis, and circumciliary injection and generally occurs after blunt trauma.

• A red eye in a contact lens wearer requires prompt evaluation for a corneal ulcer.

• Acute angle-closure glaucoma is an ocular emergency and requires immediate treatment by an ophthalmologist.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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