DOCTOR, MY EYE IS RED: A CASE REPORT.

INTRODUCTION AND OBJECTIVE: Red eye is one of the most common ophthalmologic conditions in the primary care setting. Conjunctivitis is probably the most common cause but other more serious conditions can also occur. METHOD: A 6-year-old-boy with a previous history of articulation speech disorder, phimosis and epididymitis is brought by his mother because of an eyelid edema and conjunctival hyperemia of his right eye with one day of evolution. By suspicion of a bacterial conjunctivitis it was prescribed fusidic acid eye drops. He returns 3 days later for revaluation but this time presenting purulent discharge, photophobia, eye pain and remains with conjunctival hyperemia. Once presenting warning sign he was referred to emergency to be evaluated by an ophthalmologist who described at eye examination an inferior straight corneal laceration/abrasion sideline to limbus with 6 mm of extension, with no Seidel sign or Tyndall effect. It was prescribed topical antibiotic and cycloplegic drops. Finally his mother remembered that he had a traumatic accident with Christmas ball that becoming the major cause. After one week he presented a progressive recovered however remains follow up with ophthalmologist. RESULTS AND CONCLUSIONS: The cause of red eye can be diagnosed through a detailed patient history and careful eye examination. Corneal abrasions are common eye injuries that frequently result from eye trauma, retained foreign bodies and improper contact lens use. This case report shows the importance of family doctor being familiar with the major causes of red eye and specially being able to recognize the warning signs that need to be seen by an ophthalmologist.