PPI

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?        

Acanthameoba keratitis

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"