Digital Grand Rounds - Case #108

History / Objective Data

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Interesting case!! A 45 y/o black male presented with complaints that his artificial eye was very irritating. Fitted following an auto accident, the artificial eye had not given him any trouble until the past few months. The right eye was unaffected from the accident and had good vision according to the patient. No other significant ocular or medical history was reported.

The right eye was completely normal upon entrance acuities (20/25) and external exam. EOM was full, pupils normal, A/C deep and clear. The lens was normal, as was the fundus on dilated examination.

The left side revealed a very irritated eye socket as you can see here in this photo. Injection, but no discharge was noted.

What is this condition and how should it be managed?

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Walt Mayo, OD
Technology Director
Southern Council of Optometry
PO Drawer L / 400 Marina Drive
Georgetown, South Carolina 29442
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Email: waltmayo@sccoast.net

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