Traumatic Red Eye - Differential Diagnosis Algorithm
Surface Injury:
• Corneal Abrasion
• Ultraviolet Keratitis
• Chemical (Acid, alkali)
Blunt Trauma - Hyphema, diplopia, periorbital, ecchymosis, subcutaneous emphysema of lid:
• Orbital Rim/Mid-facial Fracture
• Orbital Floor Fracture
• Orbital Apex Injury / Retrobulbar Fracture
Globe Penetrating Injury - Hyphema, history of trauma / high velocity impact, reduced visual acuity
Associated Injury:
• Lids: Swelling, Laceration
• Conjunctiva: Subconjunctival hemorrhage
• Cornea: Abrasion
• Iris: Laceration, iritis, iridodialysis
• Pupil: Traumatic mydriasis
• Lens: Cataract, dislocation
• Vitreous hemorrhage
• Retina: Tear, hemorrhage, choroidal rupture
• Glaucoma
• Optic Neuropathy
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