红眼评估

急性红眼是初级医疗医师常见的一种主诉。[1]Gilani CJ, Yang A, Yonkers M, et al. Differentiating urgent and emergent causes of acute red eye for the emergency physician. West J Emerg Med. 2017 Apr;18(3):509-17.https://www.doi.org/10.5811/westjem.2016.12.31798http://www.ncbi.nlm.nih.gov/pubmed/28435504?tool=bestpractice.com 现症状和先前眼部情况的详细病史及用药史可以缩小鉴别诊断的范围，并有助于解释关键的检查结果。初级医疗机构缺乏专科设备，且鉴别诊断宽泛，导致难以建立正确的诊断，在此类情况下应寻求眼科专家的意见。[1]Gilani CJ, Yang A, Yonkers M, et al. Differentiating urgent and emergent causes of acute red eye for the emergency physician. West J Emerg Med. 2017 Apr;18(3):509-17.https://www.doi.org/10.5811/westjem.2016.12.31798http://www.ncbi.nlm.nih.gov/pubmed/28435504?tool=bestpractice.com 表现为红眼且严重威胁视力的疾病很少见，并且可能偶尔被相关全身性症状掩盖；因此，在依据检查进行鉴别和排除诊断时，应总是考虑这些疾病。[2]Dayan M, Turner B, McGhee C. Acute angle closure glaucoma masquerading as systemic illness. BMJ. 1996 Aug 17;313(7054):413-5.http://www.ncbi.nlm.nih.gov/pubmed/8761235?tool=bestpractice.com