|
|
|
|
What
Dr. Hom says about Grand Rounds Case #59 -Red Painful Eye x 2
wks |
|
 
Day
1
1 week Case History:
This is a hypothetical case. A 55 year old male presents from the ED after a 2 week scratch from a tree branch Painful and HM at 3 feet vision, OS.
A
corneal scraping of the ulcer revealed a fusarium fungal infection
and the patient was started on Natamycin 200mg q2hours; Ciloxan, q 1 hour;
Cyclopentolate, 1%, TID, Fluconazole, 300mg, daily.
Questions:
What is the minimum amount of testing to come to a diagnosis?
What
Dr. Hom says:
-
A
culture by corneal scraping, corneal sensation, intraocular
pressures.
-
Use
the aperture of the slit lamp to estimate size and measure on
each visit to check on progress. .
-
Secondary
testing would include a dilated eye examination
Click
here for the prior page
Click
Here to Return to Grand Rounds Case Index
Return
to Home Page
|
|
|
|
Help
me with a Contribution or Donation. |
|
If you like the information on this
site, please contribute to the Grand Rounds Education Web Site
either by Visa (through PayPal) or by sending your check or money
order (no cash) to Richard Hom OD, 1826 Buchanan Street, Suite A,
San Francisco, CA 94115
|
|
