[18 - Red and Painful Eye](x-devonthink-item://A6669DCE-EFD0-4A5D-8E25-80B0E7B7FDBF) see: [[Eye infections#Red eye|Eye infections -- red eye]] > [!warning] serious findings > - severe ocular pain > - persistently blurred vision > - exopthalmosis (proptosis) > - reduced ocular light reflection > - corneal epithealh defect or opacity > - limbal injection (ciliary flush) > - pupil unreactive to direct light stimulus causes: - corneal foreign body - [[Eye infections#Corneal ulcers]] / [[Eye infections#keratitis]] - intraocular inflammation ([[Eye infections#Iritis / uveitis / choroiditis|uveitis]]) - ciliary flush, cells/flare in anterior chamber, consensual photophobia - causes: inflammatory (sarcoid, seronegative arthritis), [[Inflammatory Bowel Disease]], traumatic, infectious (syphilis, CMV, HSV, bartonella, [[Brucellosis]], drug-induced - [[Glaucoma|acute glaucoma]] - [[Eye infections#Episcleritis|episcleritis]] **Paeds Dx flowchart for red eye in paediatrics:** ![[Pasted image 20241108202756.png]]