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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.
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  • 2
77-85
  • Turkish

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