I had a Px yesterday who had a severe abrasion. Had been at A and E but lid not everted and he felt something under lid. Rubbish photo but I found a lash embedded under lid. It was quite difficult to remove and I was a bit unsure whether it actually was growing through the tarsal [...]
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?
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 [...]
Do any of you have one that you are willing to share? Thank you in advance.
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 [...]
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 [...]
I seem to be seeing more and more of this. Other than surgery, what other management are you guys finding successful?
Who is giving: 1. oral NSAIDs ie flurbiprofen 100mg tds? 2. Topical steroid ie FML TDS 3. Something else
58 year old lady. Just back from travels in Hong Kong. Whilst there, two weeks ago, diagnosed with right side facial shingles and given five days of oral aciclovir. Given topic “virupos” five times a day to right eye and was still taking this. VA 6/6 in each eye and pupils normal. R IOP 28mmHg [...]
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 [...]