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"

This is NOT dry eye. 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 … Continue reading "This is NOT dry eye."

What the….!

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 … Continue reading "What the….!"

subconjunctival foreign body

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 … Continue reading "subconjunctival foreign body"

Angular conjunctivitis

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 … Continue reading "Angular conjunctivitis"

Index of Suspicion of HS conjunctivitis

A couple of Px recently presented with dry eye symptoms but markedly worse one eye than the other that had been grumbling along for ages. The first 68yowf had a follicles on the lower palpebral conj and began to develop a linear epithelial stain that I thought was the start of a dendritic lesion so … Continue reading "Index of Suspicion of HS conjunctivitis"

Recalcitrant/recurrent conjunctivitis

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 … Continue reading "Recalcitrant/recurrent conjunctivitis"

Vernal Conjunctivitis with a twist

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 … Continue reading "Vernal Conjunctivitis with a twist"

Conjunctivitis in babies – under 1 year

Hi What are everyone’s thoughts on giving Chloramphenicol GTT to an infant under 1 year. Obviously other anti bacterials state for 1+year, but BNF is vague about chloramphenicol. It states that cannot be sold/ supplied to public to under 2 years. I know if it is true bacterail conj, will be self limiting and if … Continue reading "Conjunctivitis in babies – under 1 year"