Mile Brujic, OD, and David Kading, OD, discuss the symptom of itch and what it means in your patients. Before jumping to conclusions, complete the examination. Look at the eyelids, glands, and the palpebral conjunctiva, and be sure to flip the upper lids, especially in contact lens wearers. Because a viral red eye can mimic other conditions, Drs. Brujic and Kading always perform an in-office diagnostic to rule out adenoviral conjunctivitis. Evaluate patients’ tears, the globe, and employ staining. Remember, there are no consistent patterns to patients’ redness.