Nishimoto J Y
Department of Family Medicine, Kaiser Permanente Medical Center, Fontana, CA 92335, USA.
Postgrad Med. 1996 Feb;99(2):255-7, 261-2.
A red eye is a common complaint, often related to benign conditions. However, a red eye in conjunction with symptoms such as photophobia, pain, and decreased visual acuity is an important clue to a much more serious disorder. Iritis is one of these but is reversible with proper use of mydriatic and cycloplegic agents and corticosteroids. Heightened clinical suspicion is necessary for timely diagnosis. The examiner should be skilled in the use of a slit lamp or should refer the patient to an ophthalmologist for immediate evaluation. Once the diagnosis is made, treatment with topical corticosteroids is imperative. Close monitoring is required because overuse of corticosteroids has ominous side effects.
红眼是一种常见的症状，通常与良性病症有关。然而，红眼伴有畏光、疼痛和视力下降等症状是更严重病症的重要线索。虹膜炎就是其中之一，但通过正确使用散瞳剂、睫状肌麻痹剂和皮质类固醇是可以治愈的。提高临床怀疑度对于及时诊断很有必要。检查者应熟练使用裂隙灯，或者应将患者转诊给眼科医生进行立即评估。一旦确诊，使用局部皮质类固醇进行治疗势在必行。由于过度使用皮质类固醇有严重的副作用，因此需要密切监测。
