Anterior Scleritis Coro

Case PresentationCase Presentation

CORO TVCORO TV

3/9/20073/9/2007

28 YO FEMALE WITH RED EYE28 YO FEMALE WITH RED EYE

►Presents with 3 day Hx of:Presents with 3 day Hx of: Painful right eye PhotophobiaPainful right eye Photophobia Decreased visionDecreased vision Pain with medial gaze ODPain with medial gaze OD No other ocular symptomsNo other ocular symptoms Taking ibuprofen without reliefTaking ibuprofen without relief No previous Hx of thisNo previous Hx of this

HistoryHistory

►Past ocular Hx: NonePast ocular Hx: None

►PMHX: PMHX: Bell’s palsy at age 8Bell’s palsy at age 8 Lower extremity ulcers Lower extremity ulcers

►Worked up multiple times for DM-all Neg.Worked up multiple times for DM-all Neg.

►PSHX: Multiple debridements of lower PSHX: Multiple debridements of lower extremity leg ulcersextremity leg ulcers

►All other Hx negativeAll other Hx negative

3/13/073/13/07

Physical ExamPhysical Exam ODOD OSOS

VA @DCCVA @DCC 20/10020/100 20/2020/20

PupilsPupils 4 mm 4 mm Sluggish, NO Sluggish, NO RAPDRAPD

4mm NO RAPD4mm NO RAPD

EOMEOM Full – Pain Full – Pain w/medial gazew/medial gaze

FullFull

CVFCVF FullFull FullFull

TATA 20 mmHg20 mmHg 15 mmHg15 mmHg

3/13/073/13/07Physical ExamPhysical Exam ODOD OSOS

LLLLLL Slight edemaSlight edema WNLWNL

Conj/scleraConj/sclera ClearClear

CorneaCornea Full – Pain Full – Pain w/medial gazew/medial gaze

FullFull

ACAC Non-Non-granulomatous granulomatous KP, 1-2+ Cell KP, 1-2+ Cell

D/QD/Q

IrisIris F/RF/R F/RF/R

LensLens ClearClear ClearClear

3/13/073/13/07

Physical ExamPhysical Exam ODOD OSOS

Hurtell Hurtell 1919 1919

Posterior Posterior pole/Periphpole/Periph

WNLWNL WNLWNL

PalpationPalpation Pain to palp. Pain to palp. MediallyMedially

PlanPlan

►Continue IbuprofenContinue Ibuprofen►Medrol dose packMedrol dose pack►Pepcid BIDPepcid BID

Physical ExamPhysical Exam ODOD OSOS

VA @DCCVA @DCC 20/10020/100 20/2020/20

PupilsPupils 4 mm 4 mm Sluggish, NO Sluggish, NO RAPDRAPD

4mm NO RAPD4mm NO RAPD

EOMEOM Full – Pain Full – Pain w/medial gazew/medial gaze

FullFull

CVFCVF FullFull FullFull

TATA 20 mmHg20 mmHg 15 mmHg15 mmHg

28 YO FEMALE28 YO FEMALE