Eyelid function is important in maintaining the health of the cornea and globe. Eyelids distribute tears over the corneal surface, remove foreign bodies from the surface of the eye, control the amount of light entering the eye and protect the globe from trauma.
A thorough fundic evaluation is important in diagnosing retinal disease. At the beginning of the exam the menace response, dazzle reflex and the pupillary light reflexes should be assessed. Abnormalities on the neuro-ophthalmic portion of the exam may augment interpretation of fundic findings.
The "red eye" may present for many different reasons. Periocular trauma, conjunctival hyperemia, corneal vascularization, intraocular hemorrhage, and detached subalbinotic retinas may all lead to the complaint of a "red eye". Examination of the eye should lead to localization of the abnormality and standard ophthalmic testing should be performed, including schirmer tear tests, fluorescein staining, and intraocular pressures.