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Tag Ophtho

Question: Eye

(Click the link to comment and to vote – voting not working through email, sorry!) A 4-year-old boy is brought in for right eye pain. His little brother accidentally threw a small toy that hit him in the face. Since… Continue Reading →

Eye Drops per mL

Ever wonder how many doses you’re giving out when you prescribe a 10mL bottle of antibiotic eye drops? Or need to decide between prescribing a 3mL or 10mL bottle? The accepted conversion is 20 drops per mL (or 0.05mL per… Continue Reading →

Question: Onc

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Question: Eye Trauma

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 9 year old African-American child who was hit in the eye with a baseball. On exam there is visible blood layering… Continue Reading →

Administering eye drops

For children who have difficulty allowing the caretaker to administer eye drops, have them lay flat and close their eyes. Place several drops in the medial corner of the eye – when they open their eye, the drops will seep… Continue Reading →

Eye Drop Colors

Following up on last month’s tips regarding antibiotic eye drops, it’s helpful to know that the color of the eye drop bottle cap tells you the medication class of the contents! Also, here is a great table giving a summary… Continue Reading →

Antibiotic Eye Drops

When treating run of the mill bacterial conjunctivitis, I was taught to use erythromycin ointment for young infants that are not yet walking, and polytrim drops for older kids. The ointment is nice in that it sticks in the eyes… Continue Reading →

Question: Ophtho

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 10 day old ex-full term infant with bilateral watery mucoid eye discharge, mild eyelid edema, and papillary conjunctivitis. You suspect chlamydial… Continue Reading →

Corneal Abrasion Tx

(Click the link to comment and to vote – voting not working through email, sorry!) Note: controversies are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also… Continue Reading →

Question: Ophtho

Question: Eye

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 13 year old girl with 2 days of left eye redness and pain, and 1 day of fever. She recently got… Continue Reading →

Question: Eye

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Question: Eye Trauma

(Click the link to comment and to vote – voting not working through email, sorry!) A 16yo boy presents with chief complaint of a black “hole” in the center of his vision in his right eye 4 days after being… Continue Reading →

Question: Red Eye

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Question: Heme

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Question: Eye problem

(Click the link to comment and to vote – voting not working through email, sorry!) www.jems.com A 2 year old toddler comes in from the playground crying and rubbing at his right eye. Exam is as above.

Flourescein exam

Use a sterile saline respiratory ampule: wet the fluorescein strip with the saline, squeeze out half of the saline, then suck the yellow fluorescein liquid back up into the ampule. Now you can use the ampule as an eyedropper. For… Continue Reading →

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