BACKGROUND: Impetigo is a relatively common bacterial infection of the skin. And since the face and ocular adnexa are typical sites for the infection, the family eye doctor is often the one called upon to assist these particular patients. It is important that the optometrist be well versed in the diagnosis and proper management of bacterial skin infections such as impetigo in order to render the hightest level and quality of vision care to their patients.
CASE REPORT(S). A 78 year old female presented for an evaluation of a red, puffy right eye. The patient reported that the right eye did not hurt. However, it was swollen and crusty especially upon awakening. Correcteddistant visual acuity was 20/30+ OD and OS. Biomicroscopy revealed OD: Clear cornea, 2+ bulbar conjunctival injection with mucoid discharge, and single and coalesced vesicular eruptions with golden crusts noted on the upper lid and temporallyon the skin of the lower lid and cheek. OS: Unremarkable. Culture and sensitivity revealed OD: Heavy growth of Staphylococcus aureus from both, conjunctival and skin lesion samples.
CONCLUSIONS. A diagnosis of Staphylococcal impetigo of the right superior and inferior eye lid with concurrent acute bacterial conjunctivitis OD was made. The patient was placed on both, oral and topical antibiotic therapy and asked to return in 3 days for follow-up.