Differential Diagnosis for a Welder with Eye Problems

• Single most likely diagnosis
  • Arc Eye (Photokeratitis): This condition is caused by exposure to ultraviolet (UV) radiation from welding arcs without proper eye protection. It leads to inflammation of the cornea and is a common issue among welders.
• Other Likely diagnoses
  • Dry Eye Syndrome: Prolonged exposure to the intense light and heat from welding can reduce tear production, leading to dry, irritated eyes.
  • Foreign Body: Small particles from welding can easily become lodged in the eye, causing irritation and potentially leading to more serious complications if not removed.
  • Cataracts: Long-term exposure to UV radiation from welding can increase the risk of developing cataracts.
• Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
  • Chemical Burns: Exposure to certain chemicals used in welding processes can cause severe chemical burns to the eyes, which are medical emergencies.
  • Retinal Detachment: Although less common, the intense light from welding can potentially cause retinal detachment in susceptible individuals, which is a serious condition requiring immediate medical attention.
• Rare diagnoses
  • Siderosis Bulbi: This is a rare condition caused by the retention of an iron-containing foreign body within the eye, which can lead to chronic inflammation and vision loss over time. It's relevant to welders due to the potential for metallic fragments to penetrate the eye.
  • Electrical Injury: Direct or indirect exposure to electrical current from welding equipment can cause severe eye injuries, including cataracts, retinal damage, and even blindness.