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Pain Management 2019 & Internal Medicine 2019 International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X Page 25
JOINT EVENT
7th Edition of International Conference on
Pain Management
8th Edition of International Conference on
Internal Medicine &
Patient Care
&
March 25-26, 2019
Rome, Italy
Pain: More than meets the eye
Benson A Babu, Madiha Ali, Kyle Ferguson, Norman Saffra and Jasmin Hundal
New York-Presbyterian Hospital, USA
Eye pain is common and initially managed by primary
care physicians. Questions to consider when
examining patients: 1) Are there any alarming eye
findings that need an urgent ophthalmology referral? 2)
Is this particular eye condition part of a larger systemic
disorder or one of a primary eye disease? 3) Is there a
need for additional testing such asHIVor HPV screening?
4) Should a biopsy be performed? Meticulous patient
history and risk factor analysis combined with a clinical
examination will help formulate a differential diagnosis
and inform further management. By doing so, it obviates
the need for unwanted testing, early specialist referral,
and improves patient outcome. Familiarization with the
typical presentation and appearance of a pterygium will
portendanopportunityforthecomprehensivepractitioner
to treat with conservative therapy, thus saving the patient
timeanddiscomfort. In the rare refractorycaseor atypical
appearance, consultation with ophthalmology is needed.
A 35-year-old Hispanic male patient with a history of
pterygium presented with complaints of worsening
left eye pain for months. Prior to these symptoms, the
patient had been treated for pterygium for years without
eye pain. Over the past two weeks, the patient had also
noticed more redness and soreness that occured all
day. He noticed darkening in the medial vision of his left
eye, persistence of left eye pain and visual changes. An
excisional biopsy of the lesion was performed. The final
biopsy reports revealed an ocular surface squamous cell
carcinoma in situ causing pterygium.
Figure: Squamous Cell Carcinoma in situ. Left eye conjuncti-
val lesion showed considerable acanthosis with full thickness
dysplasia and surface keratin accumulation. PAS and Ki-67
staining.
Biography
Benson Babu completed his education from University of
Tennessee, Knoxville and he worked in NewYork-Presbyterian
Hospital, USA and he is interested in Internal Medicine. He has
publishedmany papers in the journals. He hasworked as phys-
ical in Beth Israel Medical Center.
Benson A Babu et al., Int J Anesth Pain Med 2019, Volume 5
DOI: 10.21767/2471-982X-C1-005