Red

The family physician frequently encounters patients who complain of a "red eye. " Usually, the condition causing the red eye is a simple disorder, such as conjunctivitis or subconjunctival hemorrhage. These conditions improve spontaneously or are readily treated. A red eye, however, may be a symptom of a more serious disorder, such as herpetic dendritic ulcer, iritis, acute angle-closure glaucoma, ophthalmia neonatorum, or congenital glaucoma. These conditions must be clearly distinguished from the much more common conjunctivitis and subconjunc-tival hemorrhage because immediate referral to the ophthalmologist is paramount. To evaluate the red eye, the family physician needs to have available a penlight, magnifying glasses, visual acuity chart, fluorescein dye, anesthetic drops, and tonometer.

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