International Journal of Anesthesiology & Pain Medicine

Pain: More than meets the eye

Joint Event on 7^th Edition of International Conference on Pain Management & 8^th Edition of International Conference on Internal Medicine & Patient Care
March 25-26, 2019 Rome, Italy

Benson A Babu, Madiha Ali, Kyle Ferguson, Norman Saffra and Jasmin Hundal

New York-Presbyterian Hospital, USA

ScientificTracks Abstracts: Int J Anesth Pain Med

DOI: 10.21767/2471-982X-C1-005

Abstract

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 as HIV or 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 portend an opportunity for the comprehensive practitioner to treat with conservative therapy, thus saving the patient time and discomfort. In the rare refractory case or 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.

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 published many papers in the journals. He has worked as physical in Beth Israel Medical Center.

E-mail: bensonbabumd@gmail.com