Sep 072016
 
Interesting case today, px referred by GP with suspected HZV with facial pain and possible ocular involvement. Thankfully I asked for a medical report from the GP. I didnt know at the time but very complicated GH history but also treated in 2010 for posterior scleritis on reading the report. Px had completely forgotten but [...]
Jul 182016
 
Some advice please If an elderly female patient get a granulomatous uveitis which you treat successfully, and then very soon afterwards she gets a HSK (epithelial involvement only) which you treat successfully; does that imply that the first uvetitis was herpetic; or was it just bad luck? To give a slightly fuller clinical picture the [...]
Jun 232016
 
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 [...]

cellulitis

 Posted by at 20:34  6 Responses »
Mar 012016
 
we had a ? pre-septal cellulitis in today, however VA down, pupil less reactive. Discomfort on eye movement.Not pain on eye movement.   Apart from px feeling sl flu like didn’t appear unwell. So thought was pre-septal cellulitis. In view of above signs however not sure about full cellulitis. We got her into A&E within [...]

Any ideas

 Posted by at 20:48  5 Responses »
Feb 242016
 
Posted this on Optom website,I know Ade suggested flap melt any one else care to add a DX TBH I still have no idea,post LASIK 3 years prev ,few cells,normal IOP other eye normal,lady mid 40s no GH issues just started to develop red eye 3/52 ago,mild redness,no real pain either VA 6/12 
Dec 072015
 
Diab px mid 50s presented with painful right eye (better Today) for last 3/7- amb eye but still 6/12. Iop 20 (no change) and g1 ac cells.  hx of DED, no cls/trauma etc Just wanted some comments on diagnosis/tx/management and pathophysiology.   Here some pics.  https://www.dropbox.com/s/vjhumn76h6jen22/photo%2007-12-2015%2011%2050%2028.jpg?dl=0 https://www.dropbox.com/s/a9nmiremd6khalr/photo%2007-12-2015%2011%2050%2021.jpg?dl=0   Irfan
Nov 152015
 
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 [...]