Bit of advice

 Posted by at 13:12  4 Responses »
Jan 192017
I have a chap who is obese and has floppy eyelid syndrome. He is awaiting oculoplastics surgery in 3-4 months. He is in constant discomfort due to OSD and trichasis despite loads of lube and me pulling out every lash, so in the meantime I have ordered a soft CL as a bandage my question – what drops [...]
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 292016
Just a quick one….44yr old post lasik patient with chronic dry eye; “so dry wakes patient several times in the night and struggles to open eyes during the day” no improvement with plugs ; no improvement with “every lubricant under the sun” put her on ikervis once at night to both eyes now symptom free; [...]
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 132016
  Thought I would share this interesting case. 75 year old male with a 2 year history of worsening dry eye symptoms right eye. Nothing seemed be providing relief from the symptoms. Constant eye irritation was making patient unhappy as he was unable to read or do hobbies involving electrical projects. Slit lamp exam revealed: [...]
Nov 132016
The following Px was seen by my non-IP colleague initially and Px returned next day for a second opinion. 60 year old female Px Symptoms: 2 day Hx red right eye. Slight FB sensation on blinking but no pain. No blurring, photophobia or discharge. POH: Occasional SCL usage. Wore day before symptoms started. PMH: Hypothyroidism [...]
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 [...]
Sep 132016
I have a patient who is troubled with psoriasis involving the scalp and especially the lid margins. It’s driving her crazy. She has been using Betnesol ointment (for 2 weeks) and viscotears for lubrication. It seems to flare up every 4-6 weeks. Does anyone have any other experience and treatment advice? Thanks