- Name: Dr. H. J. C.
- Age: 25 years
- Sex: Female
- Date of visit: 28-9-2005
Chief complaints:
- Pain and severe photophobia in the rt. eye since 12 days.
- There is blurring of vision.
- Heaviness and dull pain in the rt. eye.
- The eye symptoms are < bright light3, < sun, > closing the eyes.
- She also has a headache for the past 3 years esp. over the temples < before menses, > sleep3
- Pain in both the shoulders since 2 weeks along with a general body ache < lifting slight weight.
Life Situation and Mind:
Presently she is anxious about the eye complaints. Likes company and mixes easily with others. Sensitive to insults, rudeness à brooding > consolation She has become irritable lately and snaps at everyone.
Patient as a Person:
- Appetite: good
- Desires: sweets3, spicy3, warm food, tea
- Aversion: nil
- Thirst: 10-12 glasses of cold water per day
- Sweat: in summer
- Stools: hard
- Urine: normal
- Hot patient
Gyn. & Obst. History:
- FMP: 13 years
- LMP: 20-7-2005
- Pr. M P: 5-6 days/ 1 ½ months
- Quantity: moderate
- Colour: maroon
- Clots: nil
- Odour: nil
- Before Menses: headache, weakness
Past History:
- Typhoid and chicken pox in childhood.
- Viral conjunctivitis and keratitis of both eyes- 2003
- Acute Gastroenteritis- 2004
Family History:
- Father- HT
- Brother- Asthma, eczema, obsessive compulsive disorder
Examination findings:
- Eyes (Externally)- congested
- Rt. eye- Iritis
Diagnosis:
Acute iridocyclitis
Treatment
Bryonia 200 tds x 2 weeks
Follow up:
- 12-10-2005: Asymptomatic. No pain, photophobia, redness of the eye.
- Treatment- SL tds x 4 weeks.
- 10-11-2005: Asymptomatic. No visual complaints. (S/B Ophthalmic surgeon
- on 2210-2005: Vision both eyes- 6/6, Iridicyclitis settled.)
- Treatment- ct all tds x 4 weeks.