case studies

case 1

• red itchy eyes → 2 months

• no va change, just discharge

• tried visine → minimal relief → tetrahydrozoline

• past history negative

• differential

  • seasonal allergic conjunctivitis

  • GPC

  • vernal keratoconjunctivitis

  • atopic keratoconjunctivitis

• symblepheron → bulbar and palpebral conj fuse

• keratitis

case 2

• 26yo f

• red irritated eyes 3 weeks

• cl for an hour or two

• mucous discharge in the morning

• flare up of blepharitis?

• pcp gave antibiotic ointment

• artificial tears and flax seed oil

• differential

  • blepharoconjunctivitis

  • bacterial conjunctivitis

  • allergic conjunctivitis

  • gpc

  • cl overwear

• evert the lids to look for giant papillary conjunctivitis

  • gpc → CL overwear

case 3

• 42yo m

• poor vision OD

• interstitial keratitis (IK)

  • syphillis

  • TB

  • varicella

  • rubella

  •