Presentations of 'sticky eye', 'itchy eye' and gritty feeling in the eye are common, as is self-diagnosed 'conjunctivitis'. Care must be taken to ensure the pharmacist has sufficient information to decide on a rational working hypothesis. Diagnosis Attention has already been drawn to the delicate nature of the eyes and the importance of reaching a very clear working hypothesis before treating a patient with eye problems. Remember that foreign objects in eyes constitute a potential hazard. They may be easily removed, but could scratch the outer surface of the eye allowing bacterial attack with serious consequences.
Swollen eyelids are common.
Increased exudation may be noticed. This may result in increased 'sleep', especially first thing on waking up. In more extreme cases, the exudate is muco-purulent. A gritty sensation may be reported and the presence of a foreign object must be excluded in these cases. Pain must be absent.