I tend to Rx a lot of oral NISAIDS for episceltritis usually naproxen or flurbiprofen,a college has suggested celebrex as has less GI upset as an alternative any thoughts ? ,and should we be given a PPI routinely with these drugs?
interesting that the new CMG now recommends IP optom to treat first episode ( something most of have been doing for many a year) maybe they are catching up a bit as we increase our numbers,experience and clinical skills
male age 59 presented with this for the past 4 days no pain,discomfort or visual loss my thoughts are a phlycten
patient attended with 1/12 history of discomfort and watery eye, other eye normal va 6/6 lady is 30 years old my thought was conjunctivochalasis would be grateful how you would manage
I have a chap who is obese and has floppy eyelid syndrome. He is awaiting oculoplastics surgery in 3-4 months. He is in constant discomfort due to OSD and trichasis despite loads of lube and me pulling out every lash, so in the meantime I have ordered a soft CL as a bandage my question – what drops … Continue reading "Bit of advice"
lovely elderly lady hit by an angle lamp 2 /52 ago Any one have thoughts on management?
Gent has noticed for 4 weeks ,mild ache ,my thoughts is Dacryops
Good learning case Just seen my first case of Acanthamoeba Had interesting lady on Tuesday presented with pain increasing over 24hrs red eye, cells in AC and what looked like classic HSK ulcer in the left cornea I did not not treat with anti virals as Always remember never diagnose HSK in a CL wearer … Continue reading "Acanthameoba keratitis"
Wonder if any of you bright sparks can enlighten me seen quite a few of these in my glaucoma patients and I know is a side affect of latanoprost but wondered why it is only associated with this PGA and what was the mechanism behind it ??
hypothetical thinking aloud- just a bit bored lots elderly px and glaucoma follow ups in patients with poor medical control any one ever been tempted or have used a double combo ie DuoTrav and Simbrinza my usual criteria is 3 agents 2 bottles as max