|
SYMPTOMS
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Pain | Photophobia | Blurry vision | Tearing
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|
SIGNS
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Dense, diffuse punctate corneal epithelial defects | Injection | Tearing
|
|
WORK-UP
|
Thorough history. Slit lamp examination with NaFl dye
|
|
Copious use of preservative-free artificial tears | Bandage contact lens | Cycloplegic drop (cyclopentolate 1% 1 gtt bid) | Oral acetaminophen and/or ibuprofen | Steroids are sometimes used to improve patient symptoms but may prolong epithelial healing
|
|
Topical antibiotic drops or ointment can be used: Polytrim (drop) 1 gtt qid | Erythromycin (ointment) qid
|
|
ETIOLOGY
|
UV exposure (i.e. reflections from snow, welding, etc.)
|
|
DIFFERENTIAL DX
|
Medicamentosa | Dry eye syndrome | Exposure keratopathy | Chemical burn
|
|
NOTES
|
Symptoms are usually delayed
|
