[Verified Answer]: Ms

Ms. P comes to the clinic because of eye pain. Ms. P is a 44-year-old woman who presents with right eye pain that stared yesterday after working in her garden. The pain is rated 6/10 on the Baker/Wong pain scale. She has noticed that bright light makes her eye hurt worse and she feels better wearing her sun glasses. She has noticed that her vision is a bit blurry in the right eye since yesterday. While she was working in the garden it felt like something flew into her eye, it started tearing immediately and was uncomfortable, she continues to have tears from her right eye. She went into the house after about an hour of the tearing and tried to run water into her eye to flush it out, but that did not help. She has not noticed any drainage from her eyes other than the tears. She has not had any recent illnesses. She has no relief with over-the-counter eyedrops for redness. She wears extended-wear soft contact lenses for refraction and sees an ophthalmologist annually for screening. She has no history of past eye surgeries, trauma, or problems, including glaucoma. Ms. P does not have a history of diabetes, hypertension or heart disease.Ms. P tells you that her parents both have high blood pressure and that her dad had a heart surgery for a “block”. Her brother has asthma and her sister has type 2 diabetes. She does not have any children. She does not smoke tobacco or use drugs. She does have one or two glasses of wine on weekends. She is single and works as a kindergarten teacher. She enjoys working in her garden.Medications: noneAllergies: PCN, Sulfa; generalized rash no breathing problems with use.Physical Examination:VS: Wt 178 lbs; Ht 5’7″; T 98.6; B/P 100/60; P: 80; RR: 18Ms. P appears to be a healthy Native American woman who keeps her right eye covered with her hand, but no other apparent distress. Her skin is warm and dry, neck is WNL, TMs gray, transparent, mobile. When you test her visual acuity you find 20/30 OD, 20/20 OS, 20/20 OU without glasses or contacts. Her pupils are WNL, Her eyes move equally in all directions. Right eye is very red, left eye is not. With a woods lamp and fluorescein dye you see a small corneal defect at 3 o’clock. Her cardiac exam is WNL, respiratory WNL, Gastrointestinal WNL