4. Physical Exam

  • Minimal movement of prosthesis in all directions
  • 2-3+ fullness of left upper eyelid
  • 3+ erythema of conjunctiva of lids
  • Dehiscence of upper left edge of conjunctiva with 1.8 x 1.6 cm defect and exposure of implant
  • Right eye normal confrontation, motility and pupillary reflex

Breakpoint #2

  • What is your initial plan?
  • What are the common organisms causing ocular surface infections?
  • Are these the likely responsible organisms in this situation?