Acute Glaucoma* | Raised Intraocular pressure. Pain, blurred vision, haloes around lights. Systemic symptoms. Reduced VA. Mid-dilated pupil. The cornea is cloudy |
Corneal ulceration* | Trauma, Viral (herpetic) lesion, Exposure, Contact lens. Severe pain, feeling of a foreign body, photophobia, reduced VA. Ciliary injection. Fluorescin drops will show defect in epithelium. |
Anterior uveitis* | Autoimmune. Vision is blurred. Severe pain. Normal VA. Small pupil. |
Scleritis* | Inflamed sclera. Vasculitis. Moderate to severe pain. Normal pupil and cornea. |
Endophthalmitis* | Infection of the orbit possibly post surgery. Blurred vision and painful red eye. Decreased VA. Small pupil. Cloudy cornea |
Acute conjunctivitis | Gritty and discomfort in both eyes with red conjunctiva. Rarely painful. Causes often infective - viral or bacterial or chlamydial or allergic. The visual acuity is normal as is the pupil |
Conjunctival haemorrhage | Seen with straining, coughing. Patients on Warfarin or antithrombotic. Visual acuity is normal as is the pupil. Management is antibiotics. |
Episcleritis | Inflamed layer that covers sclera. No pain. Mild erythema. |