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CONJUNCTIVITIS: CASE STORY
Sometimes conjunctivitis or an infection can lead to the discovery of another serious eye condition. For instance, Raphael Santini of Ocean City, New Jersey, age 54, who other than wearing reading glasses for his presbyopia, rarely had any eye problem, one day in July 1984, noticed some pain and redness in his left eye. Mr. Santini visited his family physician who prescribed an antibiotic drop as treatment. The doctor labeled the condition “conjunctivitis.”
Sitting in the sun the next day, a Saturday, Santini continued to feel uncomfortable, although hardly as much as previously. Nevertheless, the man concluded that the eye drops were not very effective. Indeed, watching a movie on television that night had him experiencing rather sharp head pain above and around the left eye. And in the middle of the night deeper within the left eye it hurt even more. Then Santini started vomiting. He waited until early Sunday morning to call his family physician who recommended that he take aspirin, drink fluids, rest, and see an ophthalmologist at Santini?s first opportunity.
Monday morning the patient visited an ophthalmologist who found that Santini did have an infection but worse, he was the victim of acute narrow-angle glaucoma, a relatively rarer form of the disease. The doctor prescribed various medications and drops which stabilized both infection and the glaucoma condition.
The eye surgeon explained that the entrances to drainage channels in Santini’s eyes were narrower than normal. When he sat in a darker place such as in watching television, the man’s pupils enlarged and closed the drainage channels to fluid leaving his eyes. When he went into the sun, the pupils constricted and the drainage channels were not as closed. Thus, the pressure inside his eyes was higher and the pain was more severe when he was in less light. Since the pressure was still too high, even in the bright sun, Santini experienced some pain, but not as much, when he went outside.
Raphael Santini underwent a surgical procedure to provide an alternate pathway for the fluid to leave his left eye. A month later he had the same procedure done on his other eye so that he wouldn’t eventually experience the same problem with it. The man has not had any further difficulty. No permanent damage was done by the glaucoma, such as scar formation or damage to the nerves. The conjunctivitis had actually saved his vision by forcing Santini to check the health of his vision by an eye doctor.
*19/127/5*