Grand Rounds Web SIte - Case 82
 

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Grand Rounds Case #82 - 8 yrs s/p PKP - Blurry VIsion

Physical Examination Findings (Click on Image to Enlarge)

Physical Examination Findings (Click on Image to Enlarge)

 

Case History:

CC: 58 year old F presents [1] pain and discomfort of both eyes over the past month [2] Referred by PA-C for "drop in" appt for painful eye and decreased vision.

The last recorded eye visit was 07/25/2004 with the original surgeon, but her chart isn't available to me at this visit. She is s/p PKP, OU x 8 yrs with RGP wear after that. It is unclear why she had the PKP. She denies rigid contact lens wear prior to the surgery.

1. Entry sc OD 20/40- OS 20/60-

2. SLE - Both corneas have a PKP button with both having a haze. Staining OU. No cells or flare in AC either eye. RGP is riding low OU

3. I'm not sure what this is. What do you think?

 

 

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