Since my time here in St. George, UT, we have seen dozens of odd presentations of what is presumably a viral infection.
Patient Presentation: 3-4+ conjunctival chemosis (looks like you can pop it with forceps), grade 2-3 limbal and tarsal conj papillae, diffuse redness, watery discharge, and mild-moderate discomfort. Looks like a nasty, nasty allergic response.
Treatment: Does not respond to steroid (even high-dose Pred Forte) and/or mast cell stabilizer/antihistamine treatment at all. Complete resolution in 2-3 weeks, with or without treatment. Faster resolution (1 week or less) with Betadine lavage. One practitioner has been treating simultaneously with Pataday and Bromday, but no improvement in resolution time.
Sounds viral, right? All of the other practitioners in this area have been seeing similar cases, with the same results. No one knows what it is, and I haven't been able to find anything like it in the literature. We've contemplated culturing and contacting the CDC to see if they know anything. Anyone else seen anything like it or know what it is?
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