Game 4
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1
A young boy walks into your practice with an eyepatch over his left eye. There are what appears to be clear fluid remnants surrounding the eyepatch, but no pus.
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He explains that he thinks his eye condition may be related to this bacterial infection he had, and that there is a cloud that is moving over his eye , as if forming a bridge.
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You cannot see it, but he doesn't take off the eyepatch. He doesn't like the light.
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He wants something to alleviate his symptoms.
last chance
You turn off the lights, and the boy takes off the eyepatch. You see what he means. There is a white cloudy deposit travelling across the cornea, with neovascularisation occuring.
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It is a bit hard to see however, since there are tearing occuring, yet you must decide how to act.
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What do you prescribe him with?
The answer
You should prescribe him topical corticosteroids, or broad spectrum antibiotics.
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He has Phlyctenulosis
- Delayed hypersensitivity reaction due to usually staphylococcus blepharitis
- Usually unilateral, causing intense photophobia, tearing and blinking spasms (blepharospasm)
- Travelling across the cornea implies it is quite severe, and the go to is the answer listed above