Evert lid and look for foreign body
Remove contacts
Photophobia suggests inflammation i.e. uveitis and abrasions
Pupil: irregular with positive sidel's suggests penetrating injury
Obvious Ruptured Globe^
No obvious ruptured globe
Epithelial defect
Corneal Abrasion and Foreign Body
Conjunctival laceration
Corneal Ulcer^
Caustic Keratoconjunctivitis^^
Occult Ruptured Globe^
(positive Sidel's)
No defect
Subconjunctival Hematoma
Traumatic Iritis
Hyphema^
(?occult open globe)
Endophthalmitis^
(old occult open globe)
Epithelial defect
Corneal Abrasion and Foreign Body
Conjunctival laceration
Corneal Ulcer^
Caustic Keratoconjunctivitis^^
Occult Ruptured Globe^
(positive Sidel's)
No defect
Subconjunctival Hematoma
Traumatic Iritis
Hyphema^
(?occult open globe)
Endophthalmitis^
(old occult open globe)
Corneal Abrasion and Foreign Body
Conjunctival laceration
Corneal Ulcer^
Caustic Keratoconjunctivitis^^
Occult Ruptured Globe^
(positive Sidel's)
(positive Sidel's)
Subconjunctival Hematoma
Traumatic Iritis
Hyphema^
(?occult open globe)
Endophthalmitis^
(old occult open globe)
(?occult open globe)
(old occult open globe)
Epithelial defect
Corneal Abrasion
Corneal Ulcer^
Herpes Zoster Ophthalmicus (dendrite)
Corneal erosion
(morning pain)
UV keratitis
(SPK)
Scleral penetration^
No defect
No pain relief with tropicamide
Acute Angle Glaucoma^
dilated
closed angle
inc pressure
Nontraumatic Iritis
Scleritis^
(localized; no move Q-tip)
Anterior Uveitis
(hypopyon, ciliary flush)
No pain OR pain relief with tropicamide
Foreign body
Conjunctivitis
Keratoconjunctivitis
Episcleritis
(localized; move with Q-tip)
Non-uptake finding (no pain/pain relief with tropicamide)
Subconjunctival Hematoma
Inflamed pinguecula
Inflamed Pterygium
Keratoconus (protrude)
Corneal Abrasion
Corneal Ulcer^
Herpes Zoster Ophthalmicus (dendrite)
Corneal erosion
(morning pain)
UV keratitis
(SPK)
Scleral penetration^
(morning pain)
(SPK)
No pain relief with tropicamide
Acute Angle Glaucoma^
dilated
closed angle
inc pressure
Nontraumatic Iritis
Scleritis^
(localized; no move Q-tip)
Anterior Uveitis
(hypopyon, ciliary flush)
No pain OR pain relief with tropicamide
Foreign body
Conjunctivitis
Keratoconjunctivitis
Episcleritis
(localized; move with Q-tip)
Non-uptake finding (no pain/pain relief with tropicamide)
Subconjunctival Hematoma
Inflamed pinguecula
Inflamed Pterygium
Keratoconus (protrude)
Acute Angle Glaucoma^
dilated
closed angle
inc pressure
Nontraumatic Iritis
Scleritis^
(localized; no move Q-tip)
Anterior Uveitis
(hypopyon, ciliary flush)
dilated
closed angle
inc pressure
(localized; no move Q-tip)
(hypopyon, ciliary flush)
Foreign body
Conjunctivitis
Keratoconjunctivitis
Episcleritis
(localized; move with Q-tip)
(localized; move with Q-tip)
Subconjunctival Hematoma
Inflamed pinguecula
Inflamed Pterygium
Keratoconus (protrude)
^Emergent diagnoses
^^Critical diagnoses
Unilateral red eye
Nontraumatic
Bilateral red eyes
Acute angle-closure glaucoma^
Periorbital swelling
Anterior uveitis
Ocular palsy
Conjunctivitis