Grand Rounds Web SIte - Case 87
 

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What Dr. Hom said About Grand Rounds Case #87 

Case: This elderly gentleman presented with a 1 or more year history of watery and burning eyes of constant nature. There is no report of photophobia or discharge.

Question: 

  1. What is the probable cause of the watery eyes?

  2. How would you manage this?

Response:

The palpebral bags are directly related to the patients' symptoms. A mechanical ectropion is even evident. With just this presentation, though, i would be hard pressed to recommend corrective surgery. Corneal staining, intense redness or chronic blepharitis would probably make surgical intervention a stronger case.

 

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