History of Present Illness (HPI)
A six-month-old boy was referred to the ophthalmologist after the pediatrician noticed the patient had a larger and cloudy left eye. One week ago, the parents took the infant to urgent care due to persistent unilateral excessive tearing and blinking in the patient’s left eye. The patient was started on topical antibiotics, artificial tears, and daily warm compresses without improvement.
What’s at the top of your differential diagnosis? Choose at least 3 before moving on!
Congenital Corneal Hereditary Endothelial Dystrophy (CHED)
Nasolacrimal duct obstruction
Click here for additional history and the physical exam!