I saw patient with this problme. Want to know diagnosis and any non surgical management
Pinguecula : Rx : If there's pain & inflammation , nsaid tab . & Steroid with antibiotic eyedrops should be prescribed for 3 weeks in tapering doses . Otherwise no Rx is required.
inferiorly seen blue area indicate scleral thinning with uveal tissue prolapse Seem to be like necrotising scleritis
LIMBAL MASS STRIOD EYEDROPS NON STERIODAL ANTI INFLAMMATORY EYE DROPS CT TREAMENT FOR 1 TO 15 DAYS PUT BOTH DROPS ONE DROP 3 TO 4 TIMES A DAY
Do CBC & ESR test , if abnormal & high treat it as scleritis with high dose of systemic steroids.
Start on carboxy methyl cellulose eye drops Qid for 1 monthand fluoromethalone eye drops qid tapered to od by 1-1.5 week
pterigium,follow up needed
Pterygium, require topical antibiotic +steroid treatment
Should be case of episcleritis combined eye drop furbiprofen eye drop and combined eye oont. &NSAID would help.
Infammed pinguecule .lubricants steroids can be given
pterygium ! need surgery when it encroaches cornea
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