In ophthalmology, any case of a unilateral red eye should be taken seriously. As a matter of fact, bilateral conjunctival congestion is conjunctivitis unless proved otherwise it is important for a general practitioner to always refer a case of a unilateral red eye to an ophthalmologist. We know unilateral red eye 3 most important causes are Keratitis Acute iridocyclitis A c glaucoma In a recent week, I saw 2 cases of mild to a moderate unilateral red eye of 1 or 2 days duration with moderate pain no flare or KP almost normal pupil no keratitis only on dilating the pupil it was a bit oblong no significant synechia.
However, on dilating pupil the conjunctival congestion disappeared so it was an atypical mild case of iritis with no history of arthritis. However patient had a sore throat for 2 weeks so one can say it may have been septic focus responsible for mild uveitis. Other case…
