Question

A 36 year old woman presents with the complaint of dacryorrhea and irritation OS for about 48 hours. She has thick mucous discharge that sticks the lids together overnight. Vision seems fine except for blurring by mucous. She denies trauma or ocular pathology. No symptoms of URI or allergy. She has no photophobia and has not been around anyone with pinkeye. The conjunctiva (OS) is diffusely hyperemic, and there is chemosis (edema of the conjunctiva) and moderate lid edema. Traces of mucopurulent discharge are evident on the lid. Exam with Pontocaine (local anesthetic) and flourescein reveals no corneal aabrasions or ulceration. No foreign bodies are noted on the palpebral conjunctiva. PERRLA. Ocular fundus is normal. Slit-lamp examination shows not pathology in the cornea, anterior chamber, or lens. Tonometry is deferred. Far point vision testing with the Snellen chart is 20/20 in each eye. Diagnosis: Acute bacterial conjunctivitis OS What are the patient's main symptoms? Where is the eye problem? Hyperemic means?

Answer 1

Dacry refers to the tear glands and os means left eye.

Therefore, the answer to the above questions are ;

1. The patient might have left eye irritation and excessive tearing in the left side eye.

2. And the eye problems occurs mostly at the area of lid of the left eye and the conjunctiva.

3. Hyperemic means too much amount blood is flowing to an area

4. PERRLA - Pupils Equal Round Reactive to Light and Accommodation.Its a very common acronym.