Conjunctiva/sclera: Diffuse 1+ injection.Epiphora in left eye, appears to be in discomfort.No relative afferent pupillary defect in either eye.Left eye (OS): 20/100 without correction, pinhole to 20/60.Right eye (OD): 20/20 with soft contact lens.OCULAR EXAMINATION Visual Acuity (Snellen chart) Negative except for what is detailed in the history of present illness.Works as an educational product distributor and travels frequently for work.Mother has had several ocular surgeries and treatment for an unknown disorder.Artificial tears as needed in both eyes.Sodium chloride 5% (Muro 128) drops four times daily in the left eye.Ciprofloxacin drops three times daily in the left eye.RGP contact lens wear in the left eye, soft contact lens wear in the right eye.The patient took out his contact lens when symptoms began. He described constant tearing and blurry vision which did not change throughout the day. At the time of his presentation, his pain was rated as 7 out of 10 and described as a constant surface irritation and scratchy sensation. He was started on ciprofloxacin and hypertonic saline drops by the outside provider. He then presented to his regular ophthalmologist who found him to have acute corneal edema and referred him to the University of Iowa Hospitals and Clinics (UIHC). He was initially seen at an acute care clinic where he was told he had scratched his conjunctiva. Poor vision and pain in the left eye History of Present IllnessĪ 51-year-old male with keratoconus and history of rigid gas permeable (RGP) contact lens wear in the left eye presented with left eye redness, pain, light sensitivity, and tearing for 1 week.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |