Male of 60 years old with no history of chronic degenerative, antecedent of corneal ulcer / Glaucoma in treatment, Surgery, allergies and drug addiction denied, stable vital signs, Refer 3 days foreign body sensation, rheum, sensation of inflammation around the right eye, NO pain, no fever. Physical examination refers to a mild decrease in visual acuity, at the digit eye pressure normal ocular tension is perceived.

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Looks like adenoviral keratoconjunctivitis Frequent instillations of mocifloxacin drops and preservative free artificial drops. If cornea shows involvement use of mydriatic drops are indicated Only in severe corneal involvement instillations of steroid may be recommended m

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Viral conjunctivitis olopetadine e/d preservative free lubricating drops diclofen tab will automatically recover 7 -10 days

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Acute viral conjunctivitis. Rx: 1. Chloramphenicol eye drop...1 drop 4 times. 2. Anti histaminic eye drop...(olopatadine/ bepotastine) 1 drop 2 times. 3. Use dark glass. 4. Dont apply water. * Review after 7 days. If not improved.... Add gancyclovir eye ointment...apply locally 5 times a day.

Dear dr , gancyclovir will not help.
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Acute viral conjunctivitis.

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Viral conjuntivitis

ACUTE IRIDOCYCLITS

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Pulsatilla (P) 6, Staphysagria 6 (pain), calcar iodide 6 (recurrent), belladonna 30 (swelling of pain), gelsimium 30, causticum 6 (eyes not open)

Iridocyclitis

Male of more than 60,foreign body sensation,decrease in visual acuity goes in favour of viral keratitis . Further confirmation needs to be done by decreased corneal sensation and florescent staining..also look for tender preauricular or postauricular lymphadenopathy. Wait and watch and start gancyclovir,lubricating eye drops,moxifloxacin eye drops. Steroid eye drops may be used after follow up if required.

Acute iridocyclitis

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