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Q. I have pain, redness and swelling in eyes for the past one week. Please help.

Answered by
Dr. Pooja Pandya
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Jun 16, 2020

Hello doctor,

My eye is paining since Sunday. My eye is red now, it is paining while moving also when the light comes. I am felling a little swelling as well.

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Hello,

Welcome to icliniq.com.

Thank you for sending the image (attachment removed to protect patient identity) so that I can get an idea about it. For me it is looking like an infection. I can prescribe you medicine so that you can get rid of these symptoms.

But in the first image, there is something whitish area on your cornea. So I just want to know that it is really there or its reflection which is visible in the photo. Just answer me one question because treatment is different for both conditions. So I should confirm it from you and then I will give you a prescription of drops. That you have to use and you will be completely all right.

Thank you doctor,

I have attached the file. Yes, you are right. Looking like cornea is little covered from the upper side.

#

Hello,

Welcome back to icliniq.com.

See let me explain you everything clearly. As you said and you have send me images again showing congestion means redness and there is a white spot on your corner. And it is there since few days, right?

So, the likely possibility here in your case is a corneal ulcer. But to diagnose it 100% we should do slit lamp examination of your eyes. Because that whitish lesion or spot can be a source of infection. So my personal advice to you is as early as possible you should consult your nearby ophthalmologist it is better if you can consult cornea specialist if not at least general ophthalmologist. Because if it will increase, there are high chance of infection getting spread.

And if needed you should undergo corneal scraping and culture also to rule out its etiology. So please go and consult your doctor. As I told you if it is whitish lesion treatment will be different so I cannot prescribe you any drops now because it is a different scenario not a simple eye infection.


The Probable causes:

Infection.

Investigations to be done:

Slit-lamp examination. If needed scrapping.

Differential diagnosis:

Conjunctivitis. Corneal ulcer.

Probable diagnosis:

Likely corneal ulcer.

Regarding follow up:

After 1 week.


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