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?        

Pyogenic Granuloma? Treatment? Referral to?

Evening, A friend has just sent me this pic of their son. 5 weeks onset, some discomfort and now taking some flak at school. GP was unable to help or advise. I am thinking pyogenic granuloma, and referral to paed. dermotologist. Thoughts? Would any of the guys from Kent treat or be able to recommend … Continue reading "Pyogenic Granuloma? Treatment? Referral to?"

recurrent chalazion & conjunctivitis

I have a 60yr old chap with learning disabilities.  He presented with a sticky, red eye and swollen upper lid which has waxed and waned for the last 6months.  He has been on chloramphenicol QDS for a week already with no improvement. There was a large chalazion in the top lid that looks like its … Continue reading "recurrent chalazion & conjunctivitis"

Preservative free treatment for GPC?

2 weeks ago had a CL px ( monthly SiHg multifocals) with the usual complaints of GPC; lens awareness, decreased WT and comfort, mild stringy discharge. Noted; bilateral grd 3 papillary reaction / no corneal involvement. We reduced WT’s; started on Opatanol bd / systane ultra already being used prn through the day.  Today, 2 … Continue reading "Preservative free treatment for GPC?"

Bandage CL in ocular surface disease

I have seen quite a few Px recently with severe ocular surface disease, usual stuff – raging blepharitis, corneas that light up like a Christmas tree with NaFl and VA down to 6/24 or worse.  They all respond well to lid hygiene, topical steroid and copious lubrication over about 3months. Had a diabetic chap in … Continue reading "Bandage CL in ocular surface disease"