Case 5 presentation

by Dr. Philipp Franko Zeitz, Düsseldorf, Germany

Categories: cornea, photo quiz

Key problem: unusual finding of uncertain importance 

In contrast to other case reports that You might know, we want to present expert-level cases that do not have a clear and proper solution. We do this because we believe that a case report with just one specific solution will only add more encyclopedic knowledge to Your repertoire, while an open-ended case report with a discussion will train Your methods.

Therefore each case highlights one specific problem that is expressed in the introduction.

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Therefore we can not offer You the satisfying feeling of solving a puzzle correctly, but something more valuable: You will train Your skills by developing a proper method for "how to proceed" and You will help others to train their skills by giving them your different perspective.

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Female, 57 years old,

 Contact lens wearer, soft lenses, took out the lenses in the late afternoon one day prior to examination because of foreign body sensation of the right eye



Visual acuity: OU 20/20

Anterior segment: OD cornea with superficial alterations in the lower nasal sector according to photo, otherwise unremarkable, OS unremarkable, no corneal alterations





What do You think and how would You proceed?

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