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Birinci basamakta kırmızı göze genel yaklaşım

General approach to red eye in primary care

Journal Name:

  • Türkiye Aile Hekimliği Dergisi

Publication Year:

  • 2010
DOI: 
doi:10.2399/tahd.10.077

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Most of the red eye cases can be treated in primary care. Etiology of the red eye should be diagnosed rapidly. Conjonctivitis is the most common cause of red eye. Viral and bacterial conjonctivitis are benign conditions which heal spontaneously. The rate of seri¬ous complications are rare. Allergic or irritant substances are other causes for the etiology of conjonctivitis. Other common causes of red eye include subconjonctival hemorrhage, dry eye (keratocon-jonctivitis sicca), blepharitis, corneal erosion, foreign body, pinguecula, pterygium, hordeolum, canaliculitis, dacryocystitis, thyroid-related eye disease, acute angle-closure glaucoma. The essentials symptoms of red eye are pain, discharge, redness, itch¬ing, photophobia and vision changes. During the investigation of red eye's etiology, detailed medical history should be taken and careful physical examination must be made. Treatment is arranged according to the underlying etiology. Principal point of the man¬agement of red eye in primary care is to determine whether the urgent referral to the eye specialist is necessary or not. This review mentions causes of red eye which can be treated by family physi¬cians in primary care and emphasizes which patients should be referred to the eye specialist.
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Abstract (Original Language): 
Kırmızı göze neden olan hastalıklar, çoğunlukla birinci basamakta tedavi edilebilen hastalıklardır. Gözünde kırmızılık bulunan hastalarda etiyolojik neden hızla saptanmalıdır. Konjonktivit en sık saptanan kırmızı göz nedenidir. Viral ve bakteriyel konjonktivitler genellikle kendiliğinden iyileşen selim durumlardır. Ciddi komplikasyon oranı düşüktür. Alerjik ve iritan maddelerle temas sık görülen diğer nedenlerdir. Diğer kırmızı göz nedenleri; konjonktiva altına kanama, kuru göz (keratokonjonctivitis sicca), blefarit, kornea erozyonu, ya¬bancı cisim, pinguekula, pterigyum, arpacık, kanalikülit, dakriyosis-tit, tiroidle ilişkili göz hastalığı, akut kapalı açılı glokomdur. Belirtiler ağrı, akıntı, kırmızılık, kaşıntı, ışığa duyarlılık ve görme değişiklikleri¬dir. Kırmızı gözün nedeni aranırken ayrıntılı tıbbi öykü alınmalı ve dikkatli fizik muayene yapılmalıdır. Tedavi nedene göre düzenlenir. Birinci basamakta tedavi yönetiminde ana nokta, hastanın acilen göz hastalıkları uzmanına sevkinin gerekip gerekmediğini belirle¬mektir. Bu derlemede aile hekimliği uzmanının birinci basamakta te¬davi edebileceği kırmızı göz nedenleri ve hangi hastaların göz has¬talıkları uzmanına sevk edilmesi gerektiği incelenmiştir.
FULL TEXT (PDF): 
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  • 2
77-85
  • Turkish

REFERENCES

References: 

1.
Saatç
i E, İnan M, Akpınar E. Adana'dan bir aile hekimliği örneği. Türk Aile Hek Derg 2006; 10: 20-4.
2. Galor A, Jeng BH. Red eye for the internist: when to treat, when to refer. Cleve Clin J Med 2008; 75: 137-44.
3. Cronau H, Kankanala RR, Mauger T. Diagnosis and management of red eye in primary care. Am Fam Physician 2010; 81: 145.
4. Sethuraman U, Kamat D. The red eye: evaluation and management. Clin
Pediatr (Phila) 2009; 48: 588-600.
5. Visscher KL, Hutnik CM, Thomas M. Evidence-based treatment of acute infective conjunctivitis: Breaking the cycle of antibiotic prescribing. Can Fam Physician 2009; 55: 1071-5.
6. Sheikh A, Hurwitz B. Antibiotics versus placebo for acute bacterial con¬junctivitis. Cochrane Database Syst Rev 2006; 19: CD001211.
84
Aydoğan Ü, Doğaner YÇ, Akbulut H | Birinci basamakta kırmızı göze genel yaklaşım
7. Rietveld RP, Ter Riet G, Bindels PJ, Schellevis FG, Van Weert HC. Do general practitioners adhere to the guideline on infectious conjunctivitis: Results of the Second Dutch National Survey of General Practice. BMC Fam Pract 2007; 8: 54.
8. Wirbelauer C. Management of the red eye for the primary care physician.
Am J Med2006; 119: 302-6.
9. Granet D. Allergic rhinoconjunctivitis and differential diagnosis of the red eye. Allergy Asthma Proc 2008; 29: 565-74.
10. Azar MJ, Dhaliwal DK, Bower KS ve ark. Possible consequences of shak¬ing hands with your patients with epidemic keratoconjunctivitis. Am J Ophthalmol 1996; 121:711-2.
11. Hetvding G. Acute bacterial conjunctivitis. Acta Ophthalmol 2008; 86: 5-17.
12. Morrow GL, Abbott RL. Conjunctivitis. Am Fam Physician 1998; 57: 735¬46.
13. Alvarenga L, Marinho S, Mark M. Viral conjunctivitis. Cornea'da. Eds. Krachmer JH, Mannis MJ, Holland EJ. 2. Baskı, Cilt 1 Philadelphia:
Elsevier Mosby; 2005: 629-38.
14. Patel PB, Diaz MC, Bennett JE ve ark. Clinical features of bacterial con¬junctivitis in children. Acad Emerg Med 2007; 14: 1-5.
15.
Köhl
e Ü, Kükner fi. Bakteriyel konjuktivitler. İnönü Üniversitesi Tıp
Fakültesi Dergisi2003; 10: 167-71.
16. Ullman S, Roussel TJ, Forster RK. Gonococcal keratoconjunctivitis. Surv
Ophthalmol1987; 32: 199-208.
17. Deschenes J, Seamone C, Baines M. The ocular manifestations of sexually transmitted diseases. Can J Ophthalmol 1990; 25: 177-85.
18. Tarabishy AB, Jeng BH. Bacterial conjunctivitis: A review for internists.
Clev Clin Med2008; 75: 507-12.
19. Dawson CR. Chlamydial infections: Inclusion conjunctivitis. Current Ocular Therapy'de. Ed. Fraunfelder FT, Roy FH, Grove J. 4. Baskı.
Philadelphia, Saunders, 1995; 59-61.
20. Granet D. Allergic rhinoconjunctivitis and differential diagnosis of the red
eye. Allergy Asthma Proc2008; 29: 565-74.
21. Khaw PT, Shah P, Elkington AR. ABC of eyes. Injuries to the eye. BMJ 2004; 328: 36-8.
22. Dkyewikz MS, Fineman S. Executive summary of joint task Force Practice Parameters on Diagnosis and Management of Rhinitis. Ann Allergy Asthma Immunol 1998;81:463-8.
23. Juniper EF, Guyatt GH, Dolovich J. Assessment of quality of life in ado¬lescents with allergic conjunctivitis: Development and testing of a ques¬tionnaire for clinical trials. J Allergy Clin Immunol 1994; 93: 413-21.
24. Srinivasan BD, Jakobiec FA, Iwamoto T, DeVoe AG. Giant papillary con¬junctivitis with ocular prostheses. Arch Ophthalmol 1979; 97: 892-5.
25. Sugar A, Meyer RF. Giant papillary conjunctivitis after keratoplasty. Am J
Ophthalmol1981; 92: 368-71.
26. Kaya Ü, Güngör K, Erbağcı İ, Bekir N. Vernal konjuktivit ve tedavisi. Gaziantep Üniversitesi Tıp Dergisi 2007; 1: 8-12.
27. Williams CP, Browning AC, Sleep TJ ve ark. A randomised, double-blind trial of topical ketorolac vs artificial tears for the treatment of episcleritis.
Eye 2005; 19: 739-42.
28. Schaumberg DA, Sullivan DA, Buring JE ve ark. Prevalance of dry eye syn¬drome among U.S. women. Am J Ophthalmol2003; 136: 318-26.
29. Tomlinson A, Khanal S, Ramaesh K ve ark. Tear film osmolarity:
determi¬nation of a referent for dry eye diagnosis. Invest Ophthalmol Vis Sci 2006; 47:
4309-15.
30. Preferred practice patterns. Dry eye syndrome. American Academy of Ophthalmology. http://one.aao.org/CE/PracticeGuidelines/PPP.aspx adresinden 03.09.2009 tarihinde erişilmiştir.
31. Tai MC, Cosar CB, Cohen EJ, Rapuano CJ, Laibson PR. The clinical effi¬cacy of silicone punctal plug therapy. Cornea 2002; 21: 135-9.
32. Preferred practice pattern. Blepharitis. American Academy of Ophthalmology. http://one.aao.org/CE/PracticeGuidelines/PPP.aspx adresinden 03.09.2009 tarihinde erişilmiştir.
33. Jackson WB. Blepharitis: current strategies for diagnosis and management.
Can J Ophthalmol2008; 43: 170-9.
34. Tullo A. Pathogenesis and management of herpes simplex virus keratitis.
Eye 2003; 17: 919-22.
35. Hirst LW. The treatment of pterygium. Surv Ophthalmol2003; 48: 145-80.
36. Jordan D. Dacryoadenitis, dacryocystitis, and canaliculitis. Cornea'da. Ed.
Krachmer JH, Mannis MJ, Holland EJ. 2. Baskı, Cilt 1. Philadelphia, Elsevier Mosby, 2005; 541-6.
37. Mizen TR. Thyroid eye disease. Semin Ophthalmol2003; 18: 243-7.
38. Saw SM, Gazzard G, Friedman DS. Interventions for angle-closure glau¬coma: an evidence-based update. Ophthalmology2003; 110: 1869-78.
39. Eye examination in infants, children and young adults by pediatricians: Committee on Practice and Ambulatory Medicine, Section on Ophthalmology. American Association of Certified Orthoptists; American Association for Pediatric Ophthalmology and Strabismus; American Academy of Ophthalmology. Pediatrics2003; 111: 902-7.
40. İnandı T, Akyol İ. Bilgisayar kullanımı ile ilgili sağlık sorunları. STED Mart 2001. http://www.ttb.org.tr/STED/sted0301/3.html adresinden 02.07.2010 tarihinde erişilmiştir.
41. Wu Y, Carnt N, Willcox M, Stapleton F. Contact lens and lens storage case cleaning instructions: whose advice should we follow: Eye Contact Lens
2010; 36: 68-72.
42. Sun Safety: Save Your Skin. U.S. Food and Drug Administration. http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm049090.htm adresinden 03.07.2010 tarihinde erişilmiştir.

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