Beal Casey, Giordano Beverly
J Pediatr Health Care. 2016 Sep-Oct;30(5):506-14. doi: 10.1016/j.pedhc.2016.02.001. Epub 2016 Mar 2.
Patients with the primary symptom of a red eye are commonly seen in pediatric primary care clinics. The differential diagnoses of a red eye are broad, but with a succinct history and physical examination, the diagnosis can be readily identified in many patients. Identifying conditions that threaten vision and understanding the urgency of referral to an ophthalmologist is paramount. Some systemic diseases such as leukemia, sarcoidosis, and juvenile idiopathic arthritis can present with the chief symptom of a red eye. Finally, trauma, ranging from mild to severe, often precipitates an office visit with a red eye, and thus understanding the signs that raise concern for a ruptured globe is essential. In the primary care setting, with a focused history, a few simple examination techniques, and an appreciation of the differential diagnosis, one can feel confident in managing patients with acute red eyes.
以眼红为主要症状的患者在儿科初级保健诊所很常见。眼红的鉴别诊断范围很广，但通过简要的病史和体格检查，许多患者的诊断可以很容易地确定。识别威胁视力的疾病并了解转诊至眼科医生的紧迫性至关重要。一些全身性疾病，如白血病、结节病和幼年特发性关节炎，可能以眼红为主要症状。最后，从轻度到重度的外伤常常促使患者因眼红前来就诊，因此了解那些提示眼球破裂的体征至关重要。在初级保健环境中，通过重点病史、一些简单的检查技术以及对鉴别诊断的认识，医生可以有信心管理急性眼红的患者。
