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Scleritis
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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
