Brian McKeown

I am an Optometrist working in Independent practice. I'm managing whatever comes through the door with good links with local GP's and a keen interest in dry eye and glaucoma.

Sep 132016
 
I have a patient who is troubled with psoriasis involving the scalp and especially the lid margins. It’s driving her crazy. She has been using Betnesol ointment (for 2 weeks) and viscotears for lubrication. It seems to flare up every 4-6 weeks. Does anyone have any other experience and treatment advice? Thanks
Apr 062016
 
Has anyone come across a medication called Saizen, Somatropin, a human growth hormone? I have a young girl who’s had her dose increased substantially 2 weeks ago and has got limbal swelling and faint corneal infiltrates 1 week history of sensitivity to light.   I wondered if any hospital based Optoms have heard of these [...]
Oct 052015
 
I have a patient who has a red, irritated outer canthus. The skin looks almost cracked on one side and on the other it has a slight mucous appearance. I have prescribed an antibiotic ointment, Polyfax which after 2 days is helping symptoms. But I’m wondering what other people may prescribe or other diff diagnoses [...]
Apr 082015
 
A patient presented today: 49 year old female, 5 month history of itchy eyes. Has asthma, eczema and HBP Currently using Sodium Cromiglicate, 4X day and Ceterizine. But feels no improvement and is generally miserable. Slit lamp reveals marked papillae on both upper and lower lids, with corneal staining with fluorescein. One unusual finding is [...]