Case Report: Corneal Abrasion

Patient Info: 55 yo male (firefighter) with a history of penetrating tree branch to cornea. Diagnosed with corneal abrasion 3 months ago that healed without complications.
Current Complaint: New worsening pain (worst in the morning), photophobia, tearing, and clear vision with the onset of symptoms 2 days ago. No other medical, medication, or family history.

Examination: Fluorescein stain under UV shows signs.

Questions:

• Diagnosis/Prognosis?
• Medications/Treatment?
  (Apologies for poor resolution)

Update on Similar Cases

1.

• Case Description: Patient had a corneal dellen adjacent to pinguecula with injection. Treatment with artificial tears and FLQ AB over 3 days resulted in healing.
• Current Status: No symptoms reported but redness persists.

2.

• Case Description: 70 yo female accidentally scratched herself in the eye, normal exam except for abrasion. Given erythro ointment, eye patch, and pain meds.
• Discussion Prompt: Thoughts on appropriately placed eye patches?

3.

• Case Description: 27 yo female with pinhead-sized pustules inside left upper eyelid, diagnosed as internal stye. Follow-up shows a lump of 0.3x0.5cm with mild swelling.
• Current Diagnosis: Uncertain.

4.

• Referral Description: Patient referred by family Optometrist after unsuccessful treatment of "corneal abrasion" OS. Current treatment includes Ocuflox QID OS and artificial tears Q2H OS. Symptoms include ocular pain, blur, and conjunctival redness OS.
• Current Status: After 5 days of treatment, the patient healed fully.
• Question Prompt: Suggestions for further treatment?

General Observations

• A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. History of hypertension and long-term smoking. The patient was referred to the emergency department.

• A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back related to caring for a kennel of rescued dogs.

• A 4-month-old male infant presented with skin lesions localized to the chin for 3 days with pustules and inflammatory signs.

• Late teen patient presenting after collapse with no significant cardiac history, seeking insights on features warranting further work-up.