Coping when things dont go as planned

I dont think this is a clinical post, but it starts with a clinical story….   Pseudophakic chap, 50 yrs old with diagnosed OHT transferred to community care on Betoptic. Pre treatment IOPs 29mmHg discharged to community with steady IOPs at 16mmHg. On community review IOPs are 23mmHg VA 6/6 discs 0.2 and fields full … Continue reading "Coping when things dont go as planned"

oral corticosteroids for posterior non infectious uveitis

Case centres around a 45yr old lady with episodic anterior uveitis that I have treated off and on over the last few years. Recent presentation was different, more ache, less red and reduced vision. OCT showed CMO. GP medical work up was NAD. I wasnt comfortable in giving oral steroids myself and referred to a … Continue reading "oral corticosteroids for posterior non infectious uveitis"

herpetic uveitis

Some advice please If an elderly female patient get a granulomatous uveitis which you treat successfully, and then very soon afterwards she gets a HSK (epithelial involvement only) which you treat successfully; does that imply that the first uvetitis was herpetic; or was it just bad luck? To give a slightly fuller clinical picture the … Continue reading "herpetic uveitis"

tear duct sryinging -error?

What went wrong here; Px 70 female with epiphora for 6/12 left eye. Referred to me by local optom for “sryinging”. Examined – obvious epiphora and normal lid position.  Added anaesthesia (lidocaine + fluoro), opened inferior puncti and inserted lacrimal sryinge. Pushed plunger – saline seems to be going in nicely but patient says cant … Continue reading "tear duct sryinging -error?"

parvo virus arthropathy and bilateral uveitis

Just asking if anyone has any pearls for the following case; local GP comes to see me – acute arthropathy and glove and sock rash – assumed parvoviral arthropathy. Bilateral red ache to both eyes – moderate uveitis bilaterally – all looks anterior – no intermediate uveitis signs. No synechae – IOP OK. Popped him … Continue reading "parvo virus arthropathy and bilateral uveitis"