Swollen, sore red eye

Presenter: Tom Mackey, DO; Christian Anderson, DO; Jason Barr, DO

Dermatology Program: AZ Desert Dermatology

Program Director: Don Anderson, DO

Submitted on: June 1, 2007

CHIEF COMPLAINT: “swollen, sore red eye” x 3 weeks

CLINICAL HISTORY: A 64-year-old Caucasian female presents to our clinic complaining of a “swollen, sore red eye” for the past three weeks. In addition to her using over the counter topical antibiotics, her primary doctor placed her on ciprofloxacin 500mg PO QD, currently day 5. Both the patient and her primary doctor are concerned that her condition is worsening despite treatment. Her condition began as a suspected “bug bite” which has just grown to involve the entire eye. Part of the lesion had blistered and some oozing was noted, but no ulceration. The patient denied recent URI, fever, vision changes, ptosis, or photophobia. She described some scant AM discharge from her eye without purulence.

Past Medical History: Hysterectomy/BSO 30 years prior, no other medical history. No history of malignancy, diabetes, or immunosuppression. No history of rosacea or seborrheic dermatitis.

Medicines: Other than mentioned above; multivitamin and Aspirin, 81mg QD. No use of herbal or other OTC medicines.

Allergies: No known drug allergies

PHYSICAL EXAM:
Pt is afebrile. Poorly demarcated erythematous plaque with fine-scale and crust involving both eyelids and periorbital skin of the left eye. No proptosis or photophobia noted. Extraocular movements were intact. Pupils were equal, round, and reactive. No corneal defects noted. No adenopathy noted.