My Welcome to the new year Just thought I’d share with you my first morning back in 2014 9am 75 year old lady c/o left red painful eye with reduced vision for last 48hrs Exam revealed circumlimbal flush,uveitis ,fixed mid dilated pupil, IOPs r16. L38 Gonio confirmed acute angle closure glaucoma 2 young girl 25 … Continue reading "My Welcome to the new year"
An elderly lady attended me 5 days ago with day old pain and visual loss in the left eye .Exam revealed sectorial corneal odema with endothelial folds and bullous kertatopathy.va 6/24 examintion of the other eye revealed EBM dystrophy ,no recent trauma ,surgery ,no sign of Fuchs. I treated with pred forte qds (in case … Continue reading "Corneal odema"
Help please any ideas aappreciated had a Px 1 week ago with uveitis and quite severe posterier syncehiae gave cyclo 1 per cent tid and pred forte hr reducing to every 2 hr after 5 days. reviewd today uveitis much better but synechiae still very evident,does any one have any advice how this can be … Continue reading "Problem with syncehiae"
when treating a uveitis with raised IOP, what is your first choice of drug to lower the pressure?.I tend to use Azopt bd in conjuction with the steroid as starting point,I wondered if there was a better approch and if any one else has any other ideas or experience .
Just would like to know any thoughts and advice ,and wondered what you would do, and if you would do anything different. Saw an elderly lady whom was referred to me by her GP, for red eye not responding to chlro – for about 2 weeks.Poor vision due to previous CRVO (6/CF) Examination revealed large … Continue reading "Today My first case of Neurotrophic Keratitis as an IP Optom"
Hi any thoughts Px seen today female had for 1-2 weeks,mild-moderate pain va normal iops normal, no cells,flare I am thinking Pyogenic Granuloma .Gave pred forte qds and reveiwing in one week
Hi eveyone Any clinical pearls I wondered how you would go about treating a non hepetic viral conjuctivitis with punctace corneal erosions. I tend to rx ocular lubricants qds and pred forte qds for the keratitis and reviw in 2/52
I saw this lady 2 weeks ago. age 52 referred to me due to keratitis.VA 6/36 in one eye only Dense SPK no ant chamber response.Severe blepharitis in both eyes,no real pain just discomfort.Mildly injected bulber conj,no discharge. so gave her lid scrubs,FML qds,Optive qds,Simple eye ointment bd and fusic acid bd to be rubed into lids. … Continue reading "any ideas please?"
I have a chap whom I diagnosed with uniocular nodular epi-scleritis about 2 months ago,confimed with pharm testing I started him on 1/12 supply of Pred-forte qds reducing by one drop per week. and fluroprofen 100mg tds for 2 weeks He stopped the treatment after the month and after 2 -3 days later condition flared up again The gentelman … Continue reading "Nodular Epi-sceritis managment"