Catcher's eyes had not improved in the two days since the first visit. Both eyes were completely covered with film. He could barely open them.
Finding this exam:
weight: 42.2 pounds
Schirmer Tear Test - no tear production in either eye
Flourescein Stain - stained only eye with worst abrasion, mild uptake
Diagnosis:
Sudden onset Bilateral Keratoconjunctivitis Sicca (KCS). Possible triggers: no recent vaccines, bloodwork within normal limits 2 months prior, thyroid panel within normal limits 8 months prior, possibly an unidentified autoimmune disorder?
Treatment:
Optimmune ointment bilaterally twice daily
Dexospore ointment bilaterally three times daily
recommend tear replacement
Re-check in 2 weeks
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