Red Eye
Causes:
Conjunctivitis
- Infective - with mucopurulent discharge
- Chemotherapy eg.Cytarabine - without discharge
- GVHD - ciccatricial changes
Subconjunctival hemorrhage
- Thrombocytopenia - confluent redness without discharge
Keratitis
- Dry eye related - punctate erosions with fluoroscein
- HSV keratitis - dendritic ulcer with fluoroscein
- Bacterial keratitis - white corneal infiltrate with ulcer
Uveitis
- Leukaemic infiltration - steroid resistant hypopyon
- Infective - steroid resistant hypopyon
Below is a case of uveitis presenting as a left sided hypopyon, which represented a recurrence of ALL in a 5 year old girl. Anterior chamber tap revealed leukaemic cells.
Clinical Tip : Fluoroscein staining of the cornea can help to identify important corneal infections such as HSV denritic ulcers and bacterial keratitis |
Clinical Tip : Persistent uveitis can represent a recurrence of leukemia. Anterior chamber tap (biopsy of fluid) can allow for cytological diagnosis. |
