Distance visual acuity with spectacle
correction was 20/30+2 OD and 20/20
OS. Pupils were equally round and reactive
to light with negative afferent pupil
defect noted OU. Anterior segment
evaluation with slit lamp revealed clear
lashes OU, mild meibomian gland stasis
in the lids OU, grade 1+ hyperemia
in the inferior conjunctiva OD and no
hyperemia OS. A corneal scar, approximately
0.5 mm, was present slightly inferior
nasal to the visual axis OD. A 0.6-
mg fluorescein sodium ophthalmic strip
was instilled OD/OS, which revealed
inferior punctate epithelial erosion
(PEE) OU and no staining in the area
of the ulcer OD. All other structures,
including the iris, angle and lens were
unchanged from the previous visit. The
secondary anterior chamber reaction
had resolved. One drop of fluorescein
sodium/benoxinateophthalmic solution
was instilled OD/OS and revealed
intraocular pressures of 12 mmHg
OD and 12 mmHg OS at 9:30 a.m.
by Goldmann applanation tonometry.
Data from this examination is shown in