430pm Friday Patient has small metallic FB in corneal epi. Check for 25g needles – none left! Went to friendly pharmacist who gave me a ‘needle exchange pack’. Contents: 25 g needle 2ml syringe Alcohol prep wipe Wee sharps box …and a wee sterile teespoon to stir your tea when you’re finished!
My colleague has been dealing with have a chap who works in a decompression chamber for a month at a time. His normal rx is R-2.00L-1.75 Once in the chamber for 28 days – his rx becomes 2 dioptres more minus. R-4.50 L-4.25 He has , as such 2 pairs of specs – one for … Continue reading "Decompression chambers!"
Friday 5.02pm – whilst closing the shutters I came across a young woman who appeared to be in excruciating pain. Her partner said that she had been sent down by the GP after a lighter “blew up” in her face 4 hours ago. They had irrigated the eye for 30 minutes (partners 3/12 supply of … Continue reading "A happy IP story"
So I think my first case of a fungal keratitis.# 50 year old lady, CL wearer, red painful right eye. Lots of pain. Few odd “microdendrites” to the cornea. Not much else to see other than the eye a bit red. Pain out of all proportion to signs.Was worried so sent to local HES. Feedback … Continue reading "candida keratitis"
Does the presence of hypopyon in acute anterior uveitis change your management plan at all? All the literature I can find says that although certain types of uveitis px are more at risk of hypopyon, the hypopyon itself doesn’t present any more risk of short or long term effects. Px in question is HLA B27 … Continue reading "Anterior Uveitis with Hypopyon"
I have had a patient who has been told by her GP that she can’t have a antibiotic whilst on Statins. It is my understanding that she is referring to erythromycin type ? Tetracyclines are safe to use I presume ?
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
Dear all I am about to start a new clinic within the hospital for acute cases. I was wondering if any Optoms are involved in something like this? If so, are there any recommended reading materials? Eg are you carrying out corneal scrapes? ordering blood work? Any comments/advise would be appreciated. thanks Irfan
Hi all. my first post , having recently gained IP status! I have a px who is an established ortho K wearer and developed an infective keratitis in his right eye which we manage to catch quite early and treat with Levofloxacin eyedrops. It has settled down now after a few days. He is very keen … Continue reading "Keratitis and Ortho K"