Concluded Case

irritating left eye since 2 days on hydroxymethylcellulose eye drop ..not improved.. please dx and rx

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Concluded answer

Probably an adenoviral keratoconjunctivitis. Mostly it is unilateral and within a week or so it affects the other eye. To start with there is only conjunctivitis but within a week affects the cornea accompanied by preauricular lymphadenopathy . Slit lamp biomicroscopy is essential to detect corneal changes; if so add a mydriatic for treatment.

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Acute onset unilateral diffuse painless red eye might be due to Allergic conjunctivitis, Viral conjunctivitis, Sub conjunctival haemorrhage. 1. Viral conjunctivitis : Starts with one eye but later may involve other eye too. Usually non itchy but may be irritating. Discharge are minimal and watery in nature. May be associated symptoms like sore throat, running nose, earache, malaise, headache etc. Just give conservative management with hydroxymethylcellulose eye drop to reduce irritation. Antibiotic usually not needed unless there is secondary bacterial infections. Recovery takes around 6-7 days. The case is most likely is viral conjunctivitis. 2. Allergic conjunctivitis : Too itchy, discharge are profuse usually and ropy. Patient may give personal or family history of allergic conditions like asthma, hay fever, allergic conjunctivitis etc. Treatment needed are Prednisolone eye drop, Oral antihistaminic of choice. 3. Subconjunctival haemorrhage : may have h/o trauma. Usually deep red eye without discharge. Self limiting. May give cold application for first day then heat application may hasten the recovery. Usually take 7-21 days to recover. The presenting case is less likely to be SCH. If there is associated pain then it might be.... 1. Corneal abrashion or foreign body : Here abrashion or FB is unlikely. 2. Sceleritis or Episcleritis although episcleritis is focal in involvement. 3. Uveitis 4. Acute glaucoma : If redness and pain persist then measure intra ocular pressure. 5. Orbital cellulitis : Here redness is more prominent, disuse and painful. SO MY PD FOR THIS CASE IS VIRAL CONJUNCTIVITIS. Continue the given treatment and assure him that it will take another 4 - 5 days to recover. Ask him to wear sun glass as sunlight may cause photosensitivity.

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Probably an adenoviral keratoconjunctivitis. Mostly it is unilateral and within a week or so it affects the other eye. To start with there is only conjunctivitis but within a week affects the cornea accompanied by preauricular lymphadenopathy . Slit lamp biomicroscopy is essential to detect corneal changes; if so add a mydriatic for treatment.

Complete answer. Very nice. Thank you sir.
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Viral keratoconjunctivitis will also affect other eye Olopetadine e/d may need diclofen few days Will reciver in 5to 7 days ,no need of antibiotics

Well explained by @Dr. Golam Mortuza Continue carboxycellulose eye drop with ciplox D eye drops Opthalmic hygiene

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It's viral keratoconjunctivitis Eye drop Acupat Tab Zeerodol SP BD Tab Motimac Lc OD

Topical antibiotic is added if there is conjunctival discharge

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Its a case of viral kerato onjunctivitis which will affect the other eye.start usinh diclofen and there is no need of antibiotics.

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Conjunctivitis, FB, Needs ophthalmic opinion Antibiotics eye drops can be started immediately , avoid steroid eye drops

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INFERIOR LIMBAL CONJUCTIVITIS EXCLUDE ANY F BODY IN THE LIMBUS F M L EYE DROPS MOXAFOLXANINE EYE DROPS

Conjunctivitis moxiflo eye drops qds betnesol n eye drops qds

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