Diagnostic Quiz
Appearance and Pain: More than Meets the Eye
Andrew S. Gurwood, O.D.History: A 65-year-old black female complained of a painful, left eye with crusty discharge on the eyelids for 2 weeks. Her ocular history was otherwise unremarkable. Her systemic history was notable for hypertension for the past 17 years. She also complained of a chronic, untreated “cold” for the past 3 weeks.
Diagnostic Data: Best-corrected visual acuity was 20/25 O.U.
at distance and near. The external examination was normal with no evidence
of afferent pupillary defect. Refraction revealed myopia with astigmatism
and presbyopia O.U.
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The slit lamp findings in this 65-year-old patient. |
This photograph illustrates the slit lamp findings. The affected region was warm to the touch and sensitive. IOP was 16mm Hg O.U., and both angles were open. The dilated fundus exam was normal.
August 15, 2000