Cornea Subspecialty Day 2016
    Cornea/External Disease, Ocular Surface Disease

    In this interview from AAO 2016, Dr. C. Stephen Foster discusses the rare presentations of red eye. The diseases that are often misdiagnosed are

    • herpes simplex virus conjunctivitis
    • episcleritis or scleritis
    • atopic conjunctivitis mimicking ocular cicatricial pemphigoid
    • sebaceous carcinoma mimicking chalazion
    • scleritis as first manifestation of systemic vasculitis
    • infectious uveitis

    To safeguard against misdiagnosis, he recommends the following protocol:

    • Take extreme care in history taking, especially review of systems.
    • Inspect face, skin, ears, and hands – don't forget to turn the lights on!
    • Perform a thorough eye examination.
    • Select laboratory tests.
    • Biopsy anything that can be biopsied, and plan ahead with pathology.