Abstract
Red eye, characterized by hyperemia of the blood vessels in the conjunctiva, sclera, or episclera, can be caused by various pathologies affecting different ocular structures. It is crucial for primary care physicians to be able to distinguish associated symptoms and recognize the severity of the presentation. While the management of mild causes of red eye is handled in primary care, severe causes require the attention of a specialized ophthalmologist.
This article highlights the importance of managing red eye in primary care. Understanding the causes and associated symptoms is crucial for effective treatment and appropriate referral when necessary. Ocular infections, allergies, conjunctivitis, blepharitis, corneal abrasions, glaucoma, and uveitis are some of the common causes of red eye. Each has distinct clinical characteristics and may require specific treatments.
It is essential for primary care physicians to be familiar with red eye and its most common causes, as it can be an indicator of serious ocular diseases. Proper management in primary care improves efficiency and the quality of care, relieving the burden on ophthalmology specialists and allowing them to focus on more complex cases.
Keywords
References
Brady C. Red Eye. MSDManuals [Internet]. 2022 [citado el 22 febrero 2023]. Disponible en: https://www.msdmanuals.com/professional/eye-disorders/symptoms-of-ophthalmologic-disorders/red-eye.
Graham R. Red Eye. MedScape [Internet]. 25 febrero 2022 [citado el 22 febrero 2023]. Disponible en: https://emedicine.medscape.com/article/1192122-overview#a8.
Jacobs DS. The red eye: Evaluation and management. UpToDate [Internet]. 19 julio 2022 [citado el 22 febrero 2023]. Disponible en: https://www.uptodate.com/contents/the-red-eye-evaluation-and-management?search=red%20eye&source=search_result&selectedTitle=2~108&usage_type=default&display_rank=1.
Graue E. Diagnóstico diferencial del ojo rojo. Oftalmología en la práctica de la medicina general. New York: McGraw-Hill; 2020. p. digital. Disponible en: https://accessmedicina.mhmedical.com/content.aspx?bookid=1498§ionid=99963070#1117581285
Azari AA, Arabi A. Conjunctivitis: A Systematic Review. J Ophthalmic Vis Res [Internet]. 2020 [citado el 22 febrero 2023];15(3):372-95. DOI: 10.18502/jovr.v15i3.7456. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7431717/
American Academy of Ophthalmology [Internet]. California: American Academy of Ophthalmology; 2021-2022 [citado el 22 febrero 2023]. Basic and Clinical Science Course (External Disease and Cornea). Disponible en: https://store.aao.org/basic-and-clinical-science-course-section-08-external-disease-and-cornea.html
Rodia L, Nova A, Novie D. Primary Angle Closure Glaucoma: A Review. Res Med Eng Sci. 2020 [citado el 22 febrero 2023];9(1). DOI: 10.31031/RMES.2020.09.000702. Disponible en: https://crimsonpublishers.com/rmes/fulltext/RMES.000702.php
American Academy of Ophthalmology [Internet]. California: American Academy of Ophthalmology; 2021-2022[citado el 22 febrero 2023]. Basic and Clinical Science Course (Therapy for Uveitis). Disponible en: https://www.aao.org/education/bcscsnippetdetail.aspx?id=724c93e0-b934-4906-8acf-02db787c83e1
Jacobs DS. Corneal abrasions and corneal foreign bodies: Clinical manifestations and diagnosis. UpToDate [Internet]. 20 junio 2022 [citado el 22 febrero 2023]. Disponible en: https://www.uptodate.com/contents/corneal-abrasions-and-corneal-foreign-bodies-clinical-manifestations-and-diagnosis?search=red%20eye&topicRef=6900&source=see_link&error=10002.
Mohan RR, Kempuraj D, D'Souza S, Ghosh A. Corneal stromal repair and regeneration. Progress in Retinal and Eye Research [Internet]. 2022 [citado el 22 febrero 2023];91:101090. DOI: https://doi.org/10.1016/j.preteyeres.2022.101090. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1350946222000507?via%3Dihub
Lagina A, Ramphul K. Scleritis. StatPearls [Internet]. Enero 2023 [citado el 22 febrero 2023]. PMID: 29763119. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29763119/
Dana R. Clinical manifestations and diagnosis of scleritis. UpToDate [Internet]. 08 marzo 2022 [citado el 22 febrero 2023]. Disponible en: https://www.uptodate.com.bibliotecaucimed.remotexs.co/contents/clinical-manifestations-and-diagnosis-of-scleritis?search=red%20eye&topicRef=6900&source=see_link.
Schuster AK, Erb C, Hoffmann EM, Dietlein T, Pfeiffer N. The Diagnosis and Treatment of Glaucoma. Dtsch Arztebl Int [Internet]. 27 marzo 2020 [citado el 22 febrero 2023];117(13):225-234. DOI: 10.3238/arztebl.2020.0225. PMID: 32343668; PMCID: PMC7196841. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7196841/
Burkholder BM, Jabs DA. Uveitis for the non-ophthalmologist. BMJ [Internet]. 03 febrero [citado el 22 febrero 2023] 2021;372:m4979. DOI: 10.1136/bmj.m4979. PMID: 33536186. Disponible en: https://www.bmj.com/content/372/bmj.m4979.long
Jacobs D. Conjunctivitis. UpToDate [Internet]. 2022 [citado el 22 febrero 2023]. Disponible en: https://www.uptodate.com/contents/blepharitis?search=red%20eye&topicRef=6900&source=see_link. updated
Doshi R, Noohani T. Subconjunctival Hemorrhage. StatPearls [Internet]. 2021 [citado el 22 febrero 2023]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK551666/.
O'Neil EC, Henderson M, Massaro-Giordano M, Bunya VY. Advances in dry eye disease treatment. Curr Opin Ophthalmol [Internet]. 2019[citado el 22 febrero 2023] ;30(3):166-78. DOI: 10.1097/icu.0000000000000569. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6986373/
Shtein R. Dry Eye Disease. UpToDate [Internet]. 07 abril 2022 [citado el 22 febrero 2023]. Disponible en: https://www.uptodate.com/contents/dry-eye-disease?search=red%20eye&topicRef=6900&source=see_link.
Sarkar P, Tripathy K. Pterygium. StatPearls [Internet]. Enero 2023 [citado el 22 febrero 2023]; PMID: 32644333. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK558907/
Chu WK, Choi HL, Bhat AK, Jhanji V. Pterygium: new insights. Eye (Lond) [Internet]. 2020 [citado el 22 febrero 2023];34(6):1047-50. DOI: 10.1038/s41433-020-0786-3. Disponible en: https://www.nature.com/articles/s41433-020-0786-3
Shtein R. Blepharitis. UpToDate [Internet]. 11 agosto 2022 [citado el 22 febrero 2023]. Disponible en: https://www.uptodate.com/contents/blepharitis?search=red%20eye&topicRef=6900&source=see_link.
Patel F. Lagophtalmos. StatPearls [Internet]. 2021 [citado el 22 febrero 2023]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK560661/.
Bergstrom R, Czyz CN. Entropion. StatPearls [Internet]. Enero 2023 [citado el 22 febrero 2023]. PMID: 29262221. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK470352/
Garrity J. Dacriocistitis. Manual MSD [Internet]; Mayo 2022 [citado el 22 febrero 2023]. Disponible en: https://www.msdmanuals.com/es-cr/professional/trastornos-oftálmicos/trastornos-palpebrales-y-lagrimales/dacriocistitis.
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