Out of curiosity how many of you would treat AAU from start to finish? What drug(s) of choice would you use for Steroid, Cycloplegia and overnight? I have come across a article ( Review of Optometry 143:01Issue: 1/15/2006) which advises against 1% Cyclopentolate due to its poor control of posterior synechiae. It suggests that Cycloplegia from atropine may … Continue reading "Anterior Uveitis"
Does anyone have clinical data or experience on the efficacy of these antibacterials v chloramphenicol when treating eye infections. I increasingly prescribing Tobradex and Maxitrol as combination steroids rather than CHL plus steroid. Any thoughts or feed back is appreciated.
A consultant recently suggested this drug should be offered in community practice to slow progression in both non proliferative and proliferative diabetic retinopathy. I have a very large patient base with diabetic retinopathy so was wondering how to go about recommending/ prescribing this drug. I understand it has been approved in Australia for this purpose. … Continue reading "Fenofibrate in diabetic retinopathy"
30 something Asian male presents c/o red eye since yesterday, mild pain/discomfort, ache, slight photophobia, no watering, no blurred vision, no other symptoms. Signs on slit lamp Diffuse severe conjunctival hyperaemia (red not pink). Did not have any phenylephrine to hand. No KPs, no AC flare, pupil was round and no sign of synechiae anterior … Continue reading "Viral conjunctivitis or AAU"
Male 30 something presented today with acute pain/discomfort in his right eye, watery and slight photophobia. bilateral VA 6/5, although he was happier with left VA. Slit lamp exam with fluorescein reveals strong blink reflex in right eye, pink eye with possible mild ciliary flush? No corneal lesions. AC looked clear. Lid eversion revealed mild … Continue reading "Suspect Viral Conjunctivitis"
A friend of mine has previously undergone RK in Iran about 10 yrs ago. She has a complicated systemic condition which is a type of auto immune condition and she has been taking systemic steroids for a long time. She has recently recovered from this but now she is experiencing photophobia and pain/severe discomfort and … Continue reading "Radial Keratotomy"
I have hand a couple of Eastern European patients who have had this done to halt progression of keratoconus. I understand that the treatment involves a topical cover of Riboflavin with or without epithelium intact and then 30 min UV exposure. Is this something practiced in the UK? Does anyone have info on this?
Young lady presented today c/o bilateral gritty eyes with muco purulent discharge. Started January 18th. Slit lamp reveals bilateral oedematous eyelids and bilateral prominent follicles in the lower forniceal conjunctiva. Moderate corneal infiltrates. So I referred her to her GP for further investigation with a guarded diagnosis of chlamydial / bacterial conjunctivitis. I commenced her … Continue reading "Suspect bilateral chlamydial conjunctivitis"
Has anyone evaluated the therapeutic value of doxycycline in corneal collagen cross linking as a possible treatment in keratoconus? I understand it may depend upon its effective concentration at the ocular surface and probably relates to its chelating properties.
I have now been qualified in IP since April 2012 and I have a few issues with the way things are at the moment. I practice in areas with a large population where English is not the first language. In my personal experience I have realised a few potential problems with the way ocular drugs … Continue reading "Safe IP practice"