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Which Do You Prefer: Glasses Or Contact Lenses?


Batabatuta™

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I prefer eye glasses ...

 

 

To all user of CONTACT LENSES pls. read this I got this from my MT training ...

 

 

CONSULTATION

 

This is your 16-year-old patient who was seen by you on Thursday afternoon and referred to me that same afternoon because of severe eye pain. He has had gas-permeable lenses for about six months, prescribed and fitted elsewhere. He was evidently okay when he went to bed Wednesday night, but on arising on Thursday morning, he noted pain in the left eye with some blurring of vision and some sensitivity to bright light, and this seemed to get more severe as the day progressed.

 

Your exam showed a corneal abrasion, and you prescribed patching and oral analgesic. Evidently, he returned to your office about an hour later complaining of intolerable pain in the eye and was referred here.

When seen by me, he was literally frantic with pain, and throughout my exam he was able to cooperate only very poorly. He had pronounced photophobia and blepharospasm on the left. There was 1+conjunctival injection. Topical tetracaine abolished his pain about 50%. Slit-lamp exam showed a shallow but very broad, probably 5 mm, generally circular and centrally placed corneal abrasion. The remainder of the ocular exam was normal. No attempt was made to assess his vision beyond counting fingers, which was intact.

I instilled Cyclogyl in the office and gave his mother a prescription for some more and advised her to keep the eye patched for the next 24 to 48 hours. Most of the pain with these severe corneal abrasions is due to spasm of the pupil, and a mydriatic generally gives pretty good relief. Between the Cyclogyl and the Synalgos that you gave him and keeping the eye patched, I think he will be okay.

 

He may have done this with a fingernail during sleep, but judging from the location and appearance of the lesion, I think he probably peeled off a layer or two of corneal epithelium when he took his lens out last night. I have instructed him to leave that lens out until we have checked him again back here Monday, and his mom is to let me know by tomorrow if he is not getting good pain relief.

 

Thanks for your confidence in allowing me to share in the care of this young man.

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