Dec 032016 48 year old female patient. Moderate myope c. -6.00. Lapsed lens wearer (illness). Referred by a colleague to local HES for intractable, mostly unilateral (L) dry eye symptoms. HES diagnosed OSD and recommended lid care and lube.   She attended 2 weeks ago for a review appt and the eyes looked absolutely fine apart [...]

What the….!

 Posted by at 22:15  7 Responses »
Nov 302016
What the heck is going on here? What would you do? ___________________________________________ RFV – Routine eye exam with no symptoms Initial observation: Right eye slightly redder than left. Hx: 2010 Right successful cryobuckle procedure – RD prophylaxis in high myope with progressive retinoschisis (that’s what VitRet said). 2011 Right buckle removed after extruding out through [...]
Nov 262016
This 77 year old farmer was noted to have an asymptomatic sub-conjunctival foreign body on routine eye examination in August 2016.    The gentleman is diabetic and has normal ocular health.   His medications are metformin, isosorbide, bisoprolol, lansoprazole, Aspirin, ramipril, glyceryl trinitrate and atorvastatin – none of which seem to cause deposits on anterior eye.   It hasn’t [...]
Nov 102016
Male Px had cataract operation left eye in August / 1 month ago complained since surgery has had feeling of discomfort left eye. He had some conjunctival redness grade 2 and reduced BUT.  He was given FML for use 4 x day left eye which didn’t help and he returned today with redness and headache over left [...]
Mar 262016
75 year old lady presented with persistent conjunctivitis with broken odematous skin at both lateral canthi Bulbar conj & palp. conj is hyperaemic (Gd2) – no foll or pap White discharge Had for 10 weeks & won’t shift. Previously given CPL drops and even 5 day course oral amoxy Quick google indicates tetracycline ointment for [...]
Nov 242015
64yowf presenting with a history of recurrent conjunctivitis over the past year. She has been variously prescibed Chlormaphenicol, brolene, Fusidic acid (allergic reaction) and no treatment. It has flared up again today with conj hyperaemia, no follicles, low BUT, no corneal involvement.  She has some seborrhoeic blepharitis and lid margin telangiectasia but it doesnt look [...]
Apr 082015
A patient presented today: 49 year old female, 5 month history of itchy eyes. Has asthma, eczema and HBP Currently using Sodium Cromiglicate, 4X day and Ceterizine. But feels no improvement and is generally miserable. Slit lamp reveals marked papillae on both upper and lower lids, with corneal staining with fluorescein. One unusual finding is [...]