Bertolini J, Pelucio M
Department of Emergency Medicine, Marian Health Center, Sioux City, Iowa, USA.
Emerg Med Clin North Am. 1995 Aug;13(3):561-79.
The red eye is a clinical problem encountered on a daily basis in most emergency departments. A careful history and focused ophthalmologic examination will lead to a correct diagnosis and proper therapy. The red eye without photophobia, pain, or visual disturbance is most commonly a result of conjunctivitis. The presence of any of these symptoms indicates a need to investigate for a more serious cause. Infectious causes of conjunctivitis should always be investigated, but allergies and hypersensitivity also should be considered if the history is appropriate. Emergency department treatment of the red eye should only include corticosteroids when the diagnosis is certain and ophthalmologic consultation is obtained.
红眼是大多数急诊科每天都会遇到的临床问题。详细的病史和针对性的眼科检查将有助于做出正确的诊断和进行适当的治疗。无畏光、疼痛或视力障碍的红眼最常见的原因是结膜炎。出现这些症状中的任何一种都表明需要进一步检查是否存在更严重的病因。结膜炎的感染性病因始终需要排查，但如果病史合适，也应考虑过敏和超敏反应。只有在诊断明确且获得眼科会诊的情况下，急诊科对红眼的治疗才应使用皮质类固醇。
