Dr. Asif Manzoor
Ophthalmology (Eye Care)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
Yesterday, I woke up with a mildly swollen and bloodshot left eye which just got worse through the day (I was fine the previous day). Today, I woke up and my eye has become doubled in size accompanied by temperatures, headache, chills, and mild sore throat. I went to the doctor and explained my symptoms including that at work my colleague had recently been off with glandular fever. He checked my eyes, gave me drops and sent me on my way. My eye is not better despite doing the drops every two hours as instructed. I still have all the other symptoms and none are calming down. My right eye is still absolutely fine, so after two days of swollen and watery eyes I cannot believe this is due to conjunctivitis. I should also add I had glandular fever when I was 16 years old. Please advise.
Hello,
Welcome to icliniq.com.
According to the history and the photo you attached. (attachment removed to protect patient identity). There is mild lid edema, conjunctival chemosis and confession seen. There is also a history of glandular fever to your friend. My top of the differential diagnosis would be pharyngoconjunctival fever. It is caused by an adenoviral (commonly type 3) and causes sore throat, fever, conjunctivitis that manifest as watering, photophobia and swelling in some cases there may be rash. It is a self-limited disease. It can take one to three weeks. Only symptomatic treatment is given. For prompt relief apply cold compresses two to three times daily. Topical Vasoconstrictor gives rapid improvement. Artificial tear drops give some relief. Prophylactic antibiotic drops are given to avoid any bacterial infection. Sometimes oral anti-allergic or antihistamine is helpful if there is itching. You will get this with your doctor's prescription. So do not worry it will be alright. What you have to do is to protect everyone else. It is a viral disease and a contagious one. So your family, kids and colleagues can get this from you. So take care of the clothing, towels, etc., so that the rest of the people be safe.
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Ophthalmology (Eye Care)
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