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STUDY QUESTIONS
1. The differential diagnosis in the case was epidemic heat injuring the collaterals. Why?
2. What details warrant attention with regard to the care for this case?
Answers
1. The ophthalmologic and systemic symptoms presented in this case showed excessive epidemic toxic heat, and the differential diagnosis of epidemic heat injuring the collaterals was based on the blood spillage into the sclera.
2. Regarding the care for this case, have the patient avoid wearing any eye cover or contact lens. Eye hygiene should be maintained: avoid rubbing the eyes with the hands, maintain regular bowel movements and avoid hot and spicy food. In order to prevent cross-contamination, the patient’s handkerchief, facial towel, basin and other personal belongings should be thoroughly sterilized. Avoid allowing the discharge or tears from the diseased eye to get into the healthy eye.