Question 1

A patient experiencing an inflamed pterygia lesion has been prescribed loteprednol topical steroid drops for 7 days. The patient shows no improvement in symptoms. What is the next course of action?&#10;A) Consult with an ophthalmologist.&#10;B) Continue the medication for 7 more days.&#10;C) Prescribe a systemic corticosteroid.&#10;D) Refer the patient to the emergency department.

Accepted Answer

If the patient has not shown any improvement with the prescribed treatment, it is important to consult with an ophthalmologist to reassess the treatment plan and consider other options. Continuing the medication for 7 more days without improvement could lead to further complications and prescribing a systemic corticosteroid or referring to the emergency department without consulting with an ophthalmologist first may not be necessary or appropriate.

Question 2

A patient has an elevated, yellowish-white lesion adjacent to the cornea at the 3 o'clock position of the right eye. The provider notes pinkish inflammation with dilated blood vessels surrounding the lesion. What information will the provider provide the patient about this lesion?

A) Artificial tear drops are contraindicated.
B) Spontaneous bleeding is likely.
C) UVB eye protection is especially important.
D) Visine may be used for symptomatic relief.

C

Accepted Answer

The yellowish-white lesion at the 3 o'clock position next to the cornea, combined with pinkish inflammation and dilated blood vessels, suggests a pinguecula. UVB eye protection is especially important, as pingueculae are often caused by long-term exposure to UV radiation. Artificial tear drops may be recommended to alleviate dryness and discomfort, but Visine or other vasoconstrictor drops should be avoided as they can worsen the inflammation. Spontaneous bleeding is not a common feature of pingueculae.

Deck 60: Pingueculae and Pterygia