Why did this patient have a painful eye on and off for 20 years?
![Cornea Coach #19](/photos/antseg/cornea.coach.19.corneal-lesion-with-episodic-pain-over-20-years.jpg)
Analysis
After taking a history, the patient states that the episodes started after getting a fingernail injury to the eye. The symptoms frequently occur upon awakening. Here there is evidence of a vertically oriented epithelial break. There is significant uptake of the fluorescein dye.
This patient has recurrent corneal epithelial erosion.
In this 15-minute video featuring Dr. Christopher Rapuano, Director of Cornea Service at Wills Eye Hospital and professor at Jefferson Medical College in Philadelphia, we'll review:
- When to suspect corneal erosion
- Medical management of corneal erosion
- Surgical treatment of corneal erosion
![Cornea Coach #19 Analysis](/photos/antseg/cornea.coach.19.corneal-lesion-with-episodic-pain-over-20-years.analysis.jpg)
VIDEO DISCUSSION OCT Academy
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To access the additional video commentary, join the OCT Academy.
Clinical Tip
In a patient with an epithelial defect, ask if there is a past history of a mechanical injury.
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