Ophthalmology/Eye Institute

EmailEmail    |   Bookmark Page Bookmark  |   RSS Feeds RSS  |   Print Page Print  

 Department of Ophthalmology Case Studies

 

CC | History | Exam | Discussion | Questions | Case Studies Home

Exam:

Vitals: T 99.6, HR 118, BP 148/96, RR 26

General: Patient is distressed, in pain

Ophthalmic Exam:
VA: 20/20 OD , 20/ 200 OS
Ta: 13,16
Pupils: circular, reactive, no APD
CVF: no defects, unable to perform
External: WNL, erythematous and excoriated skin surrounding L eye

SLE:

SLE OD OS
L/L WNL erythematous, indurated
C/S white/quiet 3+ injected, mild chemosis
K Clear edema, epithelial defects with fluorescein
AC Deep and Quiet 1+ cell, deep
I Round OU
L Clear OOU

DFE: OD – Arteries, Veins, Macula, and Periphery WNL. OS – Difficult exam due to photophobia but retina attached.

webmaster@mcw.edu
© 2014 Medical College of Wisconsin
Page Updated 08/15/2014