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33 Possible Causes for Transillumination of the Iris, Unilateral Red Eye

  • Foreign Body in the Eye

    […] protection Symptoms Typically unilateral Irritation/foreign body sensation/pain Lacrimation Blurred vision Red eye Signs Foreign body adherent to ocular surface Linear corneal[college-optometrists.org] Examine closely for iris tears and transillumination defects, lens opacities, AC shallowing, and asymmetrically low IOP in the involved eye.[lifeinthefastlane.com] Aetiology Patient often gives history of foreign body entering eye wind blown high velocity (hammering, grinding) DIY and gardening Predisposing factors Lack of suitable eye[college-optometrists.org]

  • Uveitis

    Symptoms [ 11 ] Acute anterior uveitis Usually unilateral. Pain, redness and photophobia are typical. Eye pain is often worse when trying to read.[patient.info] Tugal–Tutkun, Onal S, Garip A et al., Bilateral acute iris transillumination, Arch Ophthalmol,2011;129(10):1312–9.[touchophthalmology.com] Patients with unilateral anterior uveitis have ocular ache in the affected eye if light is shined in the unaffected eye (true photophobia), which is uncommon in conjunctivitis[merckmanuals.com]

  • Anterior Uveitis

    (BADI) and bilateral acute transillumination of the iris (BAIT), the finding of corneal endothelial pigment precipitates is a useful clue to the differential diagnosis. 18,19[touchophthalmology.com] Conjunctivitis causes watering and discharge from the eye ACUTE ANTERIOR UVEITIS (IRITIS) Presentation * Painful red eye – usually unilateral. * Photophobia and watering of[redorbit.com] Sudden onset Photophobia Ocular pain Eye redness Non-granulomatous Severe inflammation potentially resulting in: Hypopyon Anterior chamber fibrin Rarely: Papillitis Vitritis[eyewiki.org]

  • Hyphema

    Pathological studies and indirect clinical evidence, including iris transillumination defects and iris tucking, have implicated haptic-iris contact.[ncbi.nlm.nih.gov] Iris transillumination defects and apposition of the optic and iris were found. The patient was diagnosed with Uveitis-Glaucoma-Hyphema (UGH) Syndrome.[ncbi.nlm.nih.gov]

  • Open Angle Glaucoma

    red eye associated with vomiting is considered acute angle-closure glaucoma until proved otherwise. 15, 20 All patients with suspected angle-closure glaucoma should be referred[aafp.org] POAG but IOP always measured within normal limits) Primary angle closure glaucoma (narrow drainage angle on gonioscopy) Pigment dispersion glaucoma (Krukenberg spindle, iris[eyewiki.aao.org] Acute angle-closure glaucoma may present with constitutional symptoms, such as headache, nausea, vomiting, or malaise, that can obscure the diagnosis. 10, 11, 17 – 19 A unilateral[aafp.org]

  • Eye Neoplasm

    Iris melanomas that involve more than 66% of the angle circumference are associated with secondary glaucoma.[ 3 ] Routine evaluation of iris melanomas includes gonioscopy,[cancer.gov] Unilateral red eye Eye irritation Conjunctival mass How is it diagnosed? Excisional or incisional biopsy What are the treatment options?[my.clevelandclinic.org] transillumination of the globe, and indirect ophthalmoscopy with 360 of scleral depression.[cancer.gov]

  • Idiopathic anterior Uveitis

    Anterior Uveitis - Introduction Unilateral Asymmetrical Inflammation of the uvea anterior to the middle of the vitreous cavity One of the serious “red eye” conditions Associated[slideshare.net] Tugal–Tutkun, Onal S, Garip A et al., Bilateral acute iris transillumination, Arch Ophthalmol,2011;129(10):1312–9.[touchophthalmology.com] Patients with unilateral anterior uveitis have ocular ache in the affected eye if light is shined in the unaffected eye (true photophobia), which is uncommon in conjunctivitis[merckmanuals.com]

  • Herpes Zoster Ophthalmicus

    A 47 year-old woman was referred for unilateral painful red eye associated with a decrease in vision.[djo.harvard.edu] There was no associated iris atrophy, no anterior chamber activity, intraocular pressure was 26 mmHg, and fundal examination of the left eye showed a cupped disc (CD 0.9)[nature.com] Later findings may include iris transillumination defects and poor pupil reactivity.[eyeworld.org]

  • Malignant Choroidal Melanoma

    Transillumination of the globe and iris : An exam of the iris, cornea, lens, and ciliary body with a light placed on either the upper or lower lid.[northshore.org] Unilateral red eye Eye irritation Conjunctival mass How is it diagnosed? Excisional or incisional biopsy What are the treatment options?[my.clevelandclinic.org] Iris melanomas that involve more than 66% of the angle circumference are associated with secondary glaucoma.[ 3 ] Routine evaluation of iris melanomas includes gonioscopy,[cancer.gov]

  • Keratoglobus

    , posterior embryotoxon, transillumination defects, Krukenberg spindles, trabecular meshwork pigmentation, posterior embryotoxon, Rieger anomaly, goniodysgenesis and cataracts[medical-dictionary.thefreedictionary.com] Presentation - acute unilateral/bilateral exacerbations characterised by decreased visual acuity, with variable pain and redness (there may be none).[patient.info] Associated findings include anterior megalophthalmos, enlarged ciliary ring with zonular stretching (leading to phacodonesis), ectopia lentis, iridodonesis, iris stromal hypoplasia[medical-dictionary.thefreedictionary.com]

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