NOV 06, 2017
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.