Red eye in one e

Discussion in 'Eye-Care' started by FRANCISCA GRACIA, Oct 26, 2017.

  1. FRANCISCA GRACIA

    FRANCISCA GRACIA

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    A 39 years old lady came with concerns of uncomfortable and red right eye for five days.

    She is not having ocular history, except she had a red eye like this last year but it went away without any problems.
    Ocular examination shows
    Unaided visual acuity 6/5 RE AND LE

    Subjective rx RE +0.25/-0.25 x 15 (6/5) ;LE +0.25 DS(6/5)
    Slit lamp examination shows small area of superficial redness in bulbar conjunctiva. No eyepain, No ocular trauma, No Papillae or follicles present. No discharge TBUT – 12 seconds,
    Anterior chamber clear and quiet in both eyes and retinal is normal. Additionally, pupils don't show any relative afferent pupil defect
    I consider that this lady has an episode of episcleritis on RE and I recommended artificial tears for one or two weeks
    As it appears that she had the same episode last year, I also send a letter to the ophthalmologist to check for any
    for systemic disease and I advised her that If redness or discomfort persist more than 2 weeks she could mention that to the ophthalmologist as it might be necessary to prescribe topical corticosteroids or systemic non-steroidal anti-inflammatory drugs.
    Would anyone agree with this diagnosis and management ?
    Could anyone give me any suggestions to this case?
     
    FRANCISCA GRACIA, Oct 26, 2017
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