Red Eye: The Red Herring of Otolaryngologic Diseases

O. Olajuyin, Obimakinde Os, Olatunya Os, Olajide Tg
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Abstract

Background: Red eye of otolaryngologic origin could present a diagnostic conundrum. A clear understanding of the otolaryngologic differential diagnosis is required to clinch a diagnosis. In this paper, we describe some diferential diagnosis and diagnostic features of red eyes of otolaryngologic origin. Objective:To describe some diferential diagnosis and diagnostic features of red eyes of otolaryngologic origin with a view to facilitate early diagnosis and treatment. Methods: Records of patients with red eyes of otolaryngologic origin were reviewed. The otolaryngologic culprits and features that proved their culpability were highlighted. Results: In all, 32 patients with red eyes of otolaryngologic origin were seen. Majority had used eye drops as primary eye care. About 71.9% seen by the general practitioners were referred to ophthalmologists on account of persistent ocular symptoms. The otolaryngologic culprits were mostly nasal and paranasal diseases. Eight(25%) required conservative treatment, 24(75%) required surgical intervention and 3(9.4%) developed complete blindness. Conclusion: This study shows that red eyes of otolaryngologic origin are mostly caused by nasal and paranasal sinus diseases. However, both patients and general practioners could be misled to believe the eye is the primary source of the ocular symptoms. Such diagnostic conundrum are associated not only with increased morbidities but also cost of treatments. The need to have a clear understanding of the otolaryngologic differential diagnosis of red eyes is hereby stressed. Also, the public must desist from arbitrary use of eye drops and the slogan: “If symptoms persits after 2 days consult your doctor” should be a community watchword.
红眼:耳鼻咽喉疾病的红鲱鱼
背景:耳鼻喉科来源的红眼可能是一个诊断难题。明确理解耳鼻喉科的鉴别诊断是确定诊断的必要条件。本文介绍耳鼻喉科红眼的一些不同诊断和诊断特点。目的:介绍耳鼻喉科红眼的一些不同诊断和诊断特点,以利于早期诊断和治疗。方法:回顾性分析耳鼻喉科红眼患者的临床资料。重点介绍了耳鼻喉科的罪犯和证明他们有罪的特征。结果:共发现32例耳鼻喉科红眼患者。大多数人使用滴眼液作为主要眼部护理。约71.9%的全科医生因持续的眼部症状而转诊至眼科医生。耳鼻喉科的罪魁祸首主要是鼻和副鼻疾病。8人(25%)需要保守治疗,24人(75%)需要手术干预,3人(9.4%)出现完全失明。结论:本研究表明,耳鼻喉科红眼多由鼻腔及鼻窦疾病引起。然而,患者和全科医生都可能被误导,认为眼睛是眼部症状的主要来源。这种诊断难题不仅与疾病的增加有关,还与治疗成本有关。强调对红眼的耳鼻喉科鉴别诊断有明确认识的必要性。此外,公众必须停止随意使用眼药水,“如果症状在2天后持续,请咨询医生”的口号应该成为社区口号。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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