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Symptoms » Red eye » Diagnostic Tests
 

Diagnostic Tests for Red eye

Diagnostic Test list for Red eye:

The list of diagnostic tests mentioned in various sources as used in the diagnosis of Red eye includes:

  • Eye inspection
    • Note the nature of the red eyes i.e. localized or diffuse redness - e.g. conjunctivitis has clearly defined vessels that covers the entire sclera (white of the eye); episcleritis and scleritis have larger blood shot vessels and are concentrated towards the cornea (coloured area of the eye); iritis has a parallel arrangement of vessels around the periphery of the cornea that are not clearly defined; subconjunctival hemorrhage is a beefy red localized hemorrhage with a definite margin.
    • If pain is present and is relieved by local anesthetic drops, this suggests a surface problem such as a corneal ulcer. If eye pain is unrelieved by the anesthetic drops, a deeper problem must be suspected such as iritis
    • View iris for any irregularity which may suggest intraocular foreign body
    • Stain the surface of the eye with fluorescein eye drops to view the cornea for any foreign bodies and defects. Note any dendritic (branching) ulceration typical of herpes simplex infection
    • Evert the eyelids searching for any foreign bodies, for fine follicles of viral infection or cobblestone follicles indicating viral conjunctivitis
    • Slit lamp examination of the eye - is ideal.
    • Swab of any eye discharge for culture - if discharge is very acute or severe, if infection is prolonged or infection is in neonates.
  • Examination for enlarged lymph nodes just in front of the ears (pre-auricular) - characteristic of viral conjunctivitis.
  • Tonometry (measure of the eye pressure) - if suspect glaucoma.
  • Blood tests
    • If iritis is diagnosed find underlying cause - e.g. syphilis serology, HLA- B27 typing for Ankylosing spondylitis, blood sugar for diabetes.

Home Diagnostic Testing

These home medical tests may be relevant to Red eye causes:


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