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Semelhante a CASE CAPSULE CORNEAL ULCER.pptx
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CASE CAPSULE CORNEAL ULCER.pptx
- 1. CASE CAPSULE
- 2. 30 years old male, farmer by occupation presented with chief complaints of Mass over Right lower eyelid since 3 months
- 3. History Of Present Illness : Patient was apparently alright 3 months back when he noticed swelling over right lower eyelid margin which was painless, gradually increasing in size. Patient took treatment from a private hospital, details of which are unclear. During the treatment, there was trauma to right eye by a glass particle which induced bleeding from the mass, followed by ulceration and Scab formation
- 4. • No h/o defective vision • No h/o pain/discharge/fever • No h/o any surgery in the past • No h/o similar swelling over any other part of body • No h/o loss of weight
- 5. Past history : No history of any major systemic illness No history of any previous ocular disease or medications used in the past
- 6. Personal history : Patient is chronic tobacco chewer since 7 years Sleep, Appetite, Bowel and bladder habits are normal Family history : Not contributory.
- 7. Examination : GENERAL EXAMINATION: Patient is conscious, co-operative, oriented to time place and person Afebrile Pulse- 88bpm BP- 120/80 mm Hg SYSTEMIC EXAMINATION: Within normal limits
- 8. Ocular examination: Facial Symmetry- Absent Head posture- normal Ocular position – normal OD OS EXTRAOCULAR MOVEMENTS Full ranged, free and painless in all the gazes Full ranged , free and painless in all the gazes VISUAL ACUITY 6/6 6/6 COLOUR VISION NORMAL NORMAL
- 9. OD OS LID Mass of size 1.5cm x 1.5cm arising from middle 1/3rd of Lower Lid margin causing mechanical ectropion NORMAL CONJUCTIVA Normal NORMAL Examination of Anterior Segment: ANTERIOR CHAMER NORMAL DEPTH, CLEAR NORMAL DEPTH, CLEAR IRIS BROWN , NORMAL TEXTURE BROWN , NORMAL TEXTURE
- 10. EXAMINATION OF ANTERIOR SEGMENT: OD OS PUPIL SIZE SHAPE POSITION REACTION 3MM CIRCULAR CENTRAL RTL 3MM CIRCULAR CENTRAL RTL IOP Digitally Normal Digitally Normal LENS CLEAR CLEAR
- 11. EXAMINATION OF POSTERIOR SEGMENT: Indirect Ophthalmoscope OD OS Fundus Media- clear Disc- average size and shape, NRR healthy, margins well defined, CDR 0.3 Blood vessels- A:V = 2:3 Foveal reflex- present Media- clear Disc- average size and shape, NRR healthy, margins well defined, CDR 0.3 Blood vessels- A:V = 2:3 Foveal reflex- present
- 12. Examination of Lid Mass Inspection: Approx. 1.5cm x 1.5cm in size, oval, smooth, sessile, slightly pinkish in colour at middle 1/3rd of lower lid margin with dilated blood vessels on the surface with healing ulcer on the lateral aspect of the mass. No oozing or discharge. Mass is causing mechanical ectropion of lower lid.
- 14. Palpation Normal temperature Non tender Non reducing Cystic mass No thrills or pulsations felt. Transillumination test: positive Ascultation: No Bruits were heard
- 17. THANK YOU