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Algorithm for the Evaluation of the Red and Painful Eye
1. External
2. Lids and Lashes
3. Conjunctiva and

of the Red and Painful ... Eye 1. ... Anterior Chamber ... Vitreous Dr. ... thame #RedEye #Painful

Normal eye - Anterior chamber (a): Located between hyperechoic cornea anteriorly and iris posteriorly Lens (L):

Normal eye - Anterior ... Vitreous chamber ... structure deep to the vitreous ... #Ophth #POCUS #Ocular ... #Normal #ALiEM

Globe rupture - irregular globe contour with collapsed anterior chamber. Echogenic material fills the vitreous chamber.

with collapsed anterior ... chamber. ... material fills the vitreous ... #Ophth #POCUS #Ocular ... #GlobeRupture #ALiEM

Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
A. Visual Acuity

Approach to an Eye ... Ocular Movements ... Anterior Chamber ... Vitreous Humor ... Blood Vessels #Ocular

Red Eye - Differential Diagnosis Framework

What?
Redness in the eye can be caused by many conditions and

like the sclera, anterior ... and posterior chambers ... Episcleritis Ocular ... Chamber/Uvea/Iris ... • Is the eye painful

Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior

Anatomical Approach to Eye ... Anterior Chamber ... Vitreous 9. ... Ocular Adverse Effects ... Hyperglycemia Vitreous

Transient Monocular Vision loss - Differential Diagnosis
Ischemia
- Large artery disease (atherothrombosis, embolus, dissection).
-

occlusive disease (anterior ... changes in gaze/eye ... Ocular causes - ... chamber hemorrhage ... , vitreous floaters

$Examination of the right eye revealed an iris lesion 3 mm in diameter (Panel A, arrow),$

Examination of the right eye ... chamber, dilated ... the absence of vitreous ... Anterior-segment ... #Endocarditis #NEJM

Synchysis Scintillans on Slit Lamp Ocular Examination

Patient with painful blind eye, due to neovascular glaucoma. She

Scintillans on Slit Lamp Ocular ... Patient with painful ... blind eye, due ... crystals in the anterior ... chamber.

$Asteroid Hyalosis- ...Slit-lamp examination of the left eye revealed multiple sparkling, white, globular, refractile, dotlike opacities$

opacities in the vitreous ... opacities moved with ocular ... The vitreous of ... asteroid hyalosis may hamper ... #NEJM #clinical

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