Dr. Rasmi Abo Touk Rifai
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
Hi doctor,
I feel like I have had something stuck in my eye on one side for over a week now. I feel it when I blink or my eyes shut. I see a speck in the white part of my eyeball and that is where I feel the discomfort. I woke up with this one morning and I often use exfoliating face wash. I went to a doctor and she had a look and thought it might be a corneal ulcer. I do not wear contacts or glasses. I was referred to a trainee eye doctor and he said my eyes were fine. After asking him three times to look at my eye he saw the speck and said it was probably a pigmentation. He said that I had something like blepharitis and recommended lubricating eye drops. The trainee eye doctor did not really ask questions, just had a look at it through the machine. I just want a second opinion since I do not feel confident with his answer.
Hello,
Welcome to icliniq.com.
Do not worry there is nothing dangerous. I do not know whether the first doctor you consulted is an ophthalmologist because he just asked you and determined it was a corneal ulcer. I do not think that you have a corneal ulcer because it is not a symptom of an ulcer. However, the ulcer is seen by the machine (called a slit lamp) which is used by the eye doctor. But the problem is the eye doctor told you that the speck is just pigmentation and talked about the lid problem. Now as I see in the photo (attachment removed to protect the patient's identity) this speck has a size. But I could not define exactly if it is transparent or not because reflects the camera light. You just look at a mirror if you see it transparent (as a water drop) it is a retention cyst, if not it is pinguecula (or the start of pterygium) or even nevus but enlarged. The treatment now is the same but the difference is if the treatment is in the vein, we need another procedure. Treatment is an eye ointment Polycort (Oxytetracycline) (any eye ointment has steroids and tetracycline antibiotic) inside the eye twice a day for ten days and once for five days. If it always exists, it is removed by a minor operation (of course all by an ophthalmologist). If you trust the first doctor and she was an ophthalmologist it means there is a possibility to have a corneal ulcer (I cannot define that by the photo it needs a slit lamp).
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Ophthalmology (Eye Care)
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