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"
Just wanting some advice about a patient I saw today. Classic presentation of epithelial erosion this morning in 50 yo male. RE sore, red, swollen since waking – pain 6.5/10 on waking & now 2/10 (11am). External exam reveals watery red eye with swollen lids Slit lamp exam reveals 1.5mm x 1.5mm unilateral corneal erosion. … Continue reading "Epithelial flap – corneal erosion"
Visit 1 52 year old female patient was sent over from another practice with a suspected recurrence of herpetic corneal ulcer. She had been diagnosed and treated at local hospital a year ago for first & only HSK. Symptoms were: Photophobia (8/10) Pain (5/10) – peri-ocular and some brow ache. No blurred vision, … Continue reading "Red herring!"
Day 1 Entry level optom receives contact lens patient presenting with 1/7 Hx red/sore/photophobic right eye. EW contact lenses 28 days old. Removed once became red. VA – R6/6 L6/5 Slit lamp exam reveals Grade 2 BConj hyperaemia & 2 x 1mm areas of infiltrate at 2 oclock (overlapping to making a figure 8). Prov. … Continue reading "CLARE – part 2 – spot the difference!"
Hi all Just wanted some reassurance that I had not over-reacted to this presentation. Would you have done anything different? __________________________________________________________ Day 1 Patient attends complaining of unilateral sore & red eye for 24 hours. Patient wears EW SiHy lenses. Had the lenses in for 7/7 when problems commenced. Symptoms intensified once lenses removed – … Continue reading "Contact lens associated red eye"
Someone sent me this link – I thought it may be of interest to some on here. https://www.nice.org.uk/news/press-and-media/nice-gives-green-light-to-dry-eye-disease-treatment-in-final-draft-guidance
Had a Px – Recurrent HSK Pharmacist told her Aciclovir ointmnt not available anymore – has anybody else heard this or have i missed this communication ? A
B&L, Just been doing some extra reading on bacterial keratitis, any feedback on this product, anybody been to USA?
Treated this initially as a bacterial keratitis because of acute symptoms, week later , px symptoms better, however cornea know looks like filamentary keratitis, advised topical lubricants ongoing now but referred to corneal specialist for review. What would other have done?
One of those days…CLPU, marginal keratitis, anterior uveitis and then… Saw an 8y/old boy mid-January whose mum reported a problem with his LE between Xmas & New Year 2014. Seen by GPwSI (Ophthalmology) who diagnosed corneal abrasion and treated with usual stuff; only, neither mum nor child report any history of trauma – not poked … Continue reading "Herpes Simplex Keratitis in 8yr old boy"