FWIW, I agree with RCE. The trauma could be just opening his eyes every morning. Why can't the pt not survive on just Muro 128 5% 2x/d (qam & qhs) x 6 months. No antibiotics. Is it the location of the defect that's a big concern?
]If the abrasion's painless, it might be some kind of genetic thing. I've read that rheumatoid arthritis can cause painless ulcers. Another painless corneal ulcer is related to leukemia. I'd start thinking about these things after ruling out infectious causes like herpes, etc.
Well, if you referred out for blood work, you'd probably get the answer. Run a CBC with a WBC differential for the leukemia. For the rheumatoid arthritis, check for RF factor, and do at least an ANA + C-RP if you're not going to do a full workup for those disease types.]
Thanks for your post.
1. How would you differentiate between the two.
2. Your classmates should join in.