Episode 9: Nontraumatic Eye Emergencies

This podcast episode focuses on non-traumatic eye emergencies, dividing them into four categories: painful red eye, painless red eye, painful loss of vision, and painless loss of vision. Cases are presented to Dr. George Porfiris and Dr. Simon Kingsley, who offer guidance on differential diagnosis, key diagnostic features, and clinical pearls. The discussion covers conditions like acute angle closure glaucoma, iritis, Kawasaki's disease, temporal arteritis, and central retinal artery occlusion, emphasizing emergency management and diagnostic criteria. The podcast further explores practical aspects of eye exams, systemic associations, and treatment strategies, including when to consult an ophthalmologist and the utility of tools like ED ultrasound.

Outlines

Part 1: Introduction and Acute Angle Closure Glaucoma

Part 2: Iritis and Painless Red Eye

Part 3: Painless Vision Loss - Temporal Arteritis and CRAO

Part 4: Painful Vision Loss and Emergency Eye Questions

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Emergency Medicine Cases

Part 1: Introduction and Acute Angle Closure Glaucoma

Introduction to Non-Traumatic Eye Emergencies

Diagnosing the First Case: Acute Angle Closure Glaucoma

Understanding Acute Angle Closure Glaucoma: Symptoms, Risk Factors, and the Role of Intraocular Pressure

Measuring Intraocular Pressure and Identifying a Shallow Anterior Chamber

Part 2: Iritis and Painless Red Eye

Case 2: Diagnosing Iritis and Understanding the Uveal Tract

Systemic Diseases Associated with Iritis and Key Physical Exam Features

Emergency Management of Iritis: Mydriatics, Cycloplegics, and Steroids

Review of Iritis and Introduction to Painless Red Eye: Kawasaki Disease

Diagnosing Kawasaki Disease: Criteria, Lab Work, and Clinical Characteristics

Part 3: Painless Vision Loss - Temporal Arteritis and CRAO

Review of Kawasaki's Disease and Introduction to Painless Vision Loss: Temporal Arteritis

Diagnosing Temporal Arteritis: Symptoms, Risk Factors, and the Importance of Early Treatment

Treatment of Temporal Arteritis and Key Features of Central Retinal Artery Occlusion

Differentiating CRAO from CRVO and Emergency Management of CRAO

Key Points on Temporal Arteritis and Central Retinal Artery Occlusion

Part 4: Painful Vision Loss and Emergency Eye Questions

ED Ultrasound for Eye Disease and Introduction to Painful Vision Loss: Optic Neuritis

Diagnosing and Managing Optic Neuritis

Emergency Eye Questions: Conjunctivitis, Topical NSAIDs, and Rare Syndromes

Episode 9: Nontraumatic Eye Emergencies

Emergency Medicine Cases

Part 1: Introduction and Acute Angle Closure Glaucoma

00:01Introduction to Non-Traumatic Eye Emergencies

Introduction to Non-Traumatic Eye Emergencies

05:05Diagnosing the First Case: Acute Angle Closure Glaucoma

Diagnosing the First Case: Acute Angle Closure Glaucoma

15:28Understanding Acute Angle Closure Glaucoma: Symptoms, Risk Factors, and the Role of Intraocular Pressure

Understanding Acute Angle Closure Glaucoma: Symptoms, Risk Factors, and the Role of Intraocular Pressure

24:01Measuring Intraocular Pressure and Identifying a Shallow Anterior Chamber

Measuring Intraocular Pressure and Identifying a Shallow Anterior Chamber

Part 2: Iritis and Painless Red Eye

33:06Case 2: Diagnosing Iritis and Understanding the Uveal Tract

Case 2: Diagnosing Iritis and Understanding the Uveal Tract

40:40Systemic Diseases Associated with Iritis and Key Physical Exam Features

Systemic Diseases Associated with Iritis and Key Physical Exam Features

49:20Emergency Management of Iritis: Mydriatics, Cycloplegics, and Steroids

Emergency Management of Iritis: Mydriatics, Cycloplegics, and Steroids

55:05Review of Iritis and Introduction to Painless Red Eye: Kawasaki Disease

Review of Iritis and Introduction to Painless Red Eye: Kawasaki Disease

1:02:09Diagnosing Kawasaki Disease: Criteria, Lab Work, and Clinical Characteristics

Diagnosing Kawasaki Disease: Criteria, Lab Work, and Clinical Characteristics

Part 3: Painless Vision Loss - Temporal Arteritis and CRAO

1:12:47Review of Kawasaki's Disease and Introduction to Painless Vision Loss: Temporal Arteritis

Review of Kawasaki's Disease and Introduction to Painless Vision Loss: Temporal Arteritis

1:20:15Diagnosing Temporal Arteritis: Symptoms, Risk Factors, and the Importance of Early Treatment

Diagnosing Temporal Arteritis: Symptoms, Risk Factors, and the Importance of Early Treatment

1:27:30Treatment of Temporal Arteritis and Key Features of Central Retinal Artery Occlusion

Treatment of Temporal Arteritis and Key Features of Central Retinal Artery Occlusion

1:35:40Differentiating CRAO from CRVO and Emergency Management of CRAO

Differentiating CRAO from CRVO and Emergency Management of CRAO

1:41:14Key Points on Temporal Arteritis and Central Retinal Artery Occlusion

Key Points on Temporal Arteritis and Central Retinal Artery Occlusion

Part 4: Painful Vision Loss and Emergency Eye Questions

1:48:06ED Ultrasound for Eye Disease and Introduction to Painful Vision Loss: Optic Neuritis

ED Ultrasound for Eye Disease and Introduction to Painful Vision Loss: Optic Neuritis

1:53:30Diagnosing and Managing Optic Neuritis

Diagnosing and Managing Optic Neuritis

1:59:27Emergency Eye Questions: Conjunctivitis, Topical NSAIDs, and Rare Syndromes

Emergency Eye Questions: Conjunctivitis, Topical NSAIDs, and Rare Syndromes