Author: Mary Kelada / Editor: Sarah Edwards / Codes: OptP4, SLO1, SLO2 / Published: 03/01/2023
A 27-year-old male presents to the Emergency Department (ED) with redness of his left eye. He first noticed it this morning on waking and recalls a similar episode around a year ago. He is complaining of mild discomfort, with minimal watering from the eye and no discharge. It has been getting progressively more red throughout the day. His vision is unaffected. He denies any trauma to the eye. He does not wear contact lenses.
He has a past medical history of ulcerative colitis.
On initial inspection, you notice a localised, well demarcated, nasal triangle of injection. Slit lamp examination is largely unremarkable: the lids appear normal, there is very mild conjunctival chemosis, the cornea is clear and there is no hypopyon visible. Closer inspection of the area of injection reveals engorged episcleral vessels.
5 responses
Really useful, thank you
Great learning scenario
excellent resource
Fantastic! Especially the pointer about 5% phenylephrine drops! This will definitely be utilized in my practice
Interesting case.