Red Eye

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Red eye?

Child's red eye is probably caused by dilation of blood vessels in the white part of the eye.

This could have been caused by a lot of things from conjunctivitis to sun exposure, dusts to name a few.

It could also have resulted from something very serious that will need urgent or emergency care.

Let's rule out anything that require urgent or emergency care before seeing what a pharmacist recommend over-the-counter for red eye relief.

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Red Eye

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Emergency situation?

Did this redness of the eye start after a sudden severe eye pain?

No

 

Yes?

 

Yes?
Let's make sure this is not an emergency situation like glaucoma.

Know that this is rare in children. So don't panic.

 

Yes?

 

Is the child also complaining of a headache with this eye pain and redness?

 

Seek Emergency Room.

Here is why:

  • These are main symptoms of acute angle glaucoma

Seek urgent care

Note:
You should only continue if your child is not experiencing the question asked.

Children's ER

 

Is the child complaining of a decreased or blurred vision with this red eye and eye pain?

 

Seek Emergency Room.

Here is why:

  • These are main symptoms of acute angle glaucoma

Seek urgent care

Note:
You should only continue if your child is not experiencing the question asked.

Children's ER

 

What about getting confused with this redness of the eyes and eye pain?

 

Seek Emergency Room.

Here is why:

  • This is a symptom of acute angle glaucoma.

Seek urgent care

Note:
You should only continue if your child is not experiencing the question asked.

Children's ER

 

Is the child seeing colored rainbows or halos around lights?

 

Seek Emergency Room.

Here is why:

  • This is a symptom of acute angle glaucoma.

Seek urgent care

Note:
You should only continue if your child is not experiencing the question asked.

Children's ER

 

Any nausea and / or vomiting with this red eye and eye pain?

 

Seek Emergency Room.

Here is why:

  • These are main symptoms of acute angle glaucoma

Seek urgent care

Note:
You should only continue if your child is not experiencing the question asked.

Children's ER

 


Those were symptoms of glaucoma which is a medical emergency.

Discuss glaucoma in children

If this does not apply to your child, let's continue and rule out other things that causes redness of the eyes that be dangerous to the child.

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Red Eye

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How serious is it?

Is the eye tender to touch with this redness?

No

 

Yes?

 

It is?
Let's eliminate cellulitis of the eye.

 

Yes?

 

Any fever with this tender to touch red eyes?

 

Seek urgent care or emergency room.

Here is why:

  • This is a sign of a serious eye infection called CELLULITIS.

Nearest ER

 

Is the eye swollen or bulging?

 

Yes?
This can be a sign of cellulitis of the eye.

 

Can the child move the eyeball around easily?

 

No?
This is a sign and symptom of cellulitis.

 

Is he or she complaining of eye pain when moving the eye?

 

Yes?
Possible sign of cellulitis of the eye.

 


Those were symptoms of cellulitis of the eye.

One of the problems with cellulitis is that it spreads rapidly, which makes it a very serious infection requiring immediate medical care.

This is a medical emergency if your child is experiencing this, seek urgent care or go to the emergency room.

If not, let's continue.

Nearest ER Continue

 

 

 

 

Red Eye

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Is it keratitis?

Is the eye so painful that the child has difficulty opening the eyelid?

No

 

Yes?
Hmmm. Let's make sure this is not something like keratitis.

 

Is the child complaining of increased sensitivity to light?

 

Yes?
This is a sign and symptom of keratitis.

 

What about a feeling of something in the eye?

 

Yes?
Keratitis can cause a feeling of something in the eye.

 

Is the child seeing floaters with this red eyes?

 

Yes?
This can be a sign and symptom of keratitis.

 

Is the vision decreasing with this redness of the eye?

Or getting blurry?

 

Yes?
This is one of the symptoms of keratitis.

 

Okay.
Those were symptoms of keratitis which require urgent care.

Expand more on keratitis

If this does not apply to the child, let's continue.

Nearest ER Continue

 

 

 

 

Red Eye

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blepharitis?

Are you looking at rusting or flaking of the eyelids / eyelashes?

No

 

Yes?
Let's make sure your child is not looking at Blepharitis.

 

Is the child feeling a gritty sensation in the eyes?

Like there is something in the eye?

 

Yes?

 

What about a burning sensation?

 

Yes?

 

Are the eyes producing a lot of tears?

 

Yes?

 

Are the eyelids margins red and swollen?

And itchy?

 

Yes?

 

Does the child show crusted eyelashes upon awakening?

Or eyelids that look greasy?

 

Yes?
This is a sign and symptom of blepharitis.

 


We just went through the symptoms of blepharitis.

Discuss blepharitis briefly.

If you suspect your child might be looking at blepharitis, call the pediatrician for a complete evaluation or seek urgent care.

If that is not the case, then let's continue and check something else out.

Nearest ER Continue

 

 

 

 

 

Red Eye

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Is it Pinkeye?

Is the child having a gritty feeling of something in the eye?

Always wanting to rub the eye(s)?

No

 

Yes?
Let's rule out possible conjunctivitis also called pink eye.

 

Does the eye(s) look swollen or inflammed?

 

Yes?
This can be a symptom of pink eye.

Swelling of the conjunctiva (the thin layer that lines the white part of the eye and the inside of the eyelid) is common with pink eye.

 

Any watery or mucus discharge with this red eye(s)?

 

Yes?
Your child may be looking at a pink eye.

Would you like to see the entry for pink eye or Continue?

Pink eye

 

What about crusting of the eyelids or eyelashes?

Especially on waking up in the morning?

 

Yes?
Your child may be looking at a pink eye inflammation.

Would you like to see our entry for pink eye for a more detailed discussion or Continue?

Pink eye

 

Is the eye(s) itching and tearing with this redness?

Also burning?

 

Yes?
Possible pink eye inflammation.

Would you like to see our entry for pink eye for a more detailed discussion or Continue?

Pink eye

 

Ask your child:
Is the eye getting more sensitive to light?

 

Yes?

 


We just went through the symptoms of a pink eye infection.

Pink eye is very contagious, so if you suspect your child is experiencing one, see our entry on pink eye for a more detailed analysis so you can make the best decision on what to do.

If you don't think so, then let's continue.

Pink eye Continue

 

 

 

 

Red Eye

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Scratched cornea?

Ask the child:
Any eye pain especially on opening or closing the eye?

No

 

Yes?
Hope this is not a scratched cornea. Let's take a look.

 

Did the child say earlier that it feels as if there is sand or grit in the eye?

 

Yes?
Looking at a possible scratched cornea.

Introduce cornea abrasion.

 

Did he or she also say the eye is getting very sensitive to light?

 

Yes?
This frequently happens with a scratched cornea.

 

Alright. Is the vision getting very blurry?

A lot of tearing too.

 

Alright.
A cornea abrasion or scratched cornea can cause this.

Symptoms of a scratched cornea include:

  • Feeling like sand in the eye
  • Eye pain when you open or close the eye
  • Tearing
  • Sensitivity to light
  • Blurred vision

 

We just went through the symptoms of a scratched cornea.

If you suspect your child might be looking at a scratched cornea, take the child to the nearest urgent care center or hospital. Do not attempt to wait it out. It is very painful.

You don't know how bad the scratch is and severe complications can develop.

Know that the signs and symptoms of a cornea abrasion may not show up until later. So you won't know when the child poked the eye or had the incident that scratched the cornea.

If the child is complaining of severe eye pain, seek urgent care. Else let's continue.

Nearest ER Continue

 

 

 

 

Red Eye

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Does your child use contacts and now the eyes are red?

 

Yes?
Keratitis is a major complication with using contact lenses.

If the child is looking at symptoms listed below, seek urgent care immediately.

It could be bacterial, viral, or fungal. It can lead to corneal scarring that impairs vision, and may lead to the need for a cornea transplant.

Symptoms include:

  • Eye pain (often sudden)
  • Reduced vision
  • Increased light sensitivity
  • Excessive tearing or discharge from the eyes
  • Feelings of scratching each time he or she blinks the eye
Close

Sometimes called CLARE (Contact lens acute red eye), this type of keratitis is often bacterial and your child would need antibiotic eye drops urgently. How urgent, see it as bacteria invading your child's eyes. They spread very fast. The more you delay, the more bacteria is going to colonize the eye and do more damage. So hurry to the nearest children's urgent care center.

FYI Nearest Clinic

 

With the red eyes, is there also runny nose, sneezing and watery eyes?

Also itchy eyes?

 

Probably looking at an allergy related red eyes.

Would you like to see what we have prepared regarding seasonal allergy situations for children or Continue?

Allergy

 

Alright
If none of the discussions so far apply, urgent or emergency care may not be needed.

Your child may be looking at a minor eye irritation or subconjunctival hemorrhage

Subconjunctival hemorrhage is like a bruise of the eye. It usually appears as a single, concentrated spot of red, or many scattered red splotches, on the white of the eye. The redness is blood under the conjunctiva.

Treatment of a subconjunctival hemorrhage is generally not necessary. Over time, the blood spot will slowly disappear, clearing up on its own. This may take days or weeks.

Let's see what a pharmacist recommend to help get rid of this red eye that is available over-the-counter.

Nearest Clinic Pharmacist