Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Ocular discomfort, Ocular hyperaemia, Photophobia, Purulence
Clinical narrative: Left  eye redness of 1 day(s)  duration with purulence and mattering.  She reports no vision problems such as blurred vision.  She does report some Left eye discomfort. Treatment = Ofloxacin ophthalmic solution 0.3% 2 drops to right left both eyes 4 times a day for 5 days. Eye problem was also addressed: 3/20/21 at urgent care  "Treated for conjunctivitis with ofloxacin 1 week ago.  Possibly some problem getting the drops in but things were improving until today when she awoke with recurrent symptoms of left eye redness and watering and matting. Treatment = Erythromycin ointment nightly. 03/22/21 03/24/21 03/26/21 Patient was then seen by an Ophthalmologist 04/02/21: " Patient came in today with symptoms of a red irritated teary photophobic swollen left eye.  The eye is hard for her to open.  Symptoms started March 11th.  Patient has been given antibiotic drops, erythromycin ointment, up to the OR, Bleph 10 none which helped her.  Patient also was given Zyrtec and Flonase  Diagnosis: Blepharoconjunctivitis  Treatment TobraDex q.i.d.  Lid scrubs  Recheck 1 week  Patient was then seen by an Ophthalmologist 04/09/21: "Recheck blepharoconjunctivitis of the left eye, I is much improved no more redness or discharge  External Eye Exam: normal DX:  Blepharoconjunctivitis  Treatment :  Decrease TobraDex  To bid for 1 week then stop   cont  Lid scrubs prn  Recheck 1 week PATIENT RECEIVED 2ND PFIZER VACCINE 04/09/21  Patient saw another ophthalmologist 04/12/21: "OS red, irritated off/on x 1 mo Saw UC, PCP, OD, etc  --was doing much better at lv 4/09 w MP ** --advised to taper TD gtts   COVID Vaccine later in day 4/09 + GI symptoms(nausea, dry heaves)** -- > ER  However, OS got much worse 4/10 More red, sore, Blurry Some tearing, no discharge Diagnosis and Treatment: Findings consistent with:  1) Acute iritis of left eye  2) Secondary ACUTE angle-closure glaucoma of left eye, unspecified glaucoma stage + IRIS BOMBE**   Diamox 500 mg po in office --1 gtt :  Timolol x 2 Brimonidine x 2 Prednisolone Acetate x 4 NEO, CYCL X 2   Patient was seen by PCP Dr 04/13/21: "Parents report an issue with her left eye x1 month.  Thought to be pink eye.  Was treated without resolution.  Eventually saw Ophthalmology.  Elevated pressures noted in the left eye and diagnosis of iritis given.  Diagnosed with acute angle closure glaucoma due to secondary reasons.  Of note is that patient received COVID vaccination on April 9th.  This was followed by nausea and retching which took her to the ER on 04/10.  There is thought that maybe this retching caused elevated eye pressures.  She is currently on Diamox/timolol/prednisone/brimonidine.  Parents do think that the redness and the swelling in the left eye is improving and they have a follow-up appointment with Ophthalmology today." Assessment:  Left eye iritis/secondary acute angle closure glaucoma-ophthalmology appointment today-unclear chronicity of glaucoma-increased pressures may be due to recent nausea and retching from COVID vaccination  patient has been seen 16 more times since these occurrances