12. Broken light reflex
This patient presents with pain, redness and a foreign body sensation. Why?
Analysis
To the left of the light pipette, there is a broken light reflex. The corneal epithelium in the area is denuded. There are no signs of infiltration. The patient had a previous corneal abrasion and was diagnosed with a recurrent corneal erosion syndrome (RCES).
In the accompanying 8 min. video featuring Dr. Ashley Brissette, assistant professor at Weill Cornell Medicine in New York, you will learn:
- Why symptoms of RCES often occur when waking from sleep
- How dry eye relates to RCES
- The available treatments of RCES
Cornea Coach Tip
Patients are at risk if for recurrent corneal erosion if they have had a previous mechanical injury, a corneal dystrophy or have dry eye.
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