How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr.S Riaz Your Own Question

Dr.S Riaz
Dr.S Riaz, Ophthalmologist
Category: Eye
Satisfied Customers: 2822
Experience:  MS OPHTHALMOLOGY (KING GEORGES' MEDICAL UNIVERSITY, LUCKNOW, INDIA), FELLOWSHIP TRAINED
14102772
Type Your Eye Question Here...
Dr.S Riaz is online now
A new question is answered every 9 seconds

My daughter presented one day with pink, watery eyes one day

Resolved Question:

My daughter presented one day with pink, watery eyes one day and a runny nose. I took her to the pediatrician whom said she probably had a viral infection. He prescribed her Gentamycin eye drops. I am not sure why this was prescribed for viral conjunctivitis. It was clear this was not bacterial. After one day of giving her 4 doses as prescribed she woke up the next day very photophobic and constant tearing. The drops seemed to make her symptoms worse. I took her to the eye doctor who then diagnosed her with bilateral circular corneal abrasions. This was then thought to be an act of child abuse.... Now knowing that the saftey and effectiveness of the eye drops was never established in infants could this possibly been a cause? The abrasions were perfect circles....my thought is when the drops comes out of the dropper it is a circle! There was no subconjunctival hemorraghes. No iritis present and no retinal hemorraghes. How could this of been child abuse without any indicators?
Submitted: 4 years ago.
Category: Eye
Expert:  Dr.S Riaz replied 4 years ago.

HelloCustomer

 

Even in viral conjunctivitis, ophthalmologists often write anti-biotics to prevent secondary bacterial infection. Bilateral circular corneal abrasion are not mentioned as it's side effects in literature that I checked. Eye irritation, burning, stinging or even swelling of the eye can occur due to gentamicin drops. Circular corneal abrasion must be a very rare finding. Circum corneal injection though is vey common and can occur in many disease states and it may be associated with photophobia. May be because the condition is not known that a diagnosis of child abuse was made. You need to discuss it with the treating doctor. Thanks

Customer: replied 4 years ago.
No it is not in the literature because the saftey and effectiveness has never been established in infants. If she did not have bacterial conjunctivitis there was no bacteria for it to kill. In return it killed the normal flora on her corneas and caused the abrasions...a chemical abrasion. Do you think this could of been a possibility?
Expert:  Dr.S Riaz replied 4 years ago.

Studies are not done on infants because of ethical reasons but if an infant comes with conjunctivitis one has to prescribe anti-biotics. However, in viral conjunctivitis, anti-biotics may not be prescribed especially if the diagnosis is clear. In my clinical practice I have never seen perfect complete corneal abrasion and that too bilateral and this includes adults also. Another thing is why did it happen in both eyes when she was having conjunctivitis in only one eye and so must be using drop in only the concerned eye. However, a diagnosis of child abuse should also not be made just by this finding. I mean the doubt will be there regarding the diagnosis. Thanks.

 

 

Follow-up questions if any are most welcome.

Expert:  Dr.S Riaz replied 4 years ago.
I think your daughter should be seen by a cornea specialist for a second opinion. There may be other signs which can aid in making the diagnosis clear. Thanks and best wishes.
Dr.S Riaz, Ophthalmologist
Category: Eye
Satisfied Customers: 2822
Experience: MS OPHTHALMOLOGY (KING GEORGES' MEDICAL UNIVERSITY, LUCKNOW, INDIA), FELLOWSHIP TRAINED
Dr.S Riaz and other Eye Specialists are ready to help you
Customer: replied 4 years ago.
She was seen by a corneal specialist. Gentamyicin was the answer.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • http://ww2.justanswer.com/uploads/DoctorDanB/2010-6-7_6228_just_answer_profile_picture_60_pixels.jpg Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • http://ww2.justanswer.com/uploads/anupamadesai/2010-04-13_122313_Dr._A.S.Desai_new_photo.jpg Dr. A.S. Desai's Avatar

    Dr. A.S. Desai

    Ophthalmologist

    Satisfied Customers:

    1903
    MS Ophthalmology with 11 years of surgical expereince
  • http://ww2.justanswer.com/uploads/gsokoye/2009-10-28_181751_Dr._Stan.JPG Dr. Stan's Avatar

    Dr. Stan

    Ophthalmologist

    Satisfied Customers:

    895
    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • http://ww2.justanswer.com/uploads/eyemd/2009-04-07_180315_pic.jpg Dr. Stevens's Avatar

    Dr. Stevens

    Ophthalmologist

    Satisfied Customers:

    629
    Board Certified Ophthalmologist
  • http://ww2.justanswer.com/uploads/CO/CorneaDoc/2012-2-18_0390_photo6.64x64.jpg Dr. Susan's Avatar

    Dr. Susan

    Ophthalmologist

    Satisfied Customers:

    217
    Board Certified & Fellowship trained eye surgeon.
  • http://ww2.justanswer.com/uploads/neuph94/2009-10-11_164729_gif_pic.GIF Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    28
    Harvard Medical School, Massachussetts Eye and Ear
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjcufyksv/2012-3-13_44825_crop3.64x64.jpg Dr-Trace's Avatar

    Dr-Trace

    Board Certified Ophthalmologist

    Satisfied Customers:

    26
    Board Certified in General Ophthalmology
 
 
 
Chat Now With An Eye Doctor
Dr.S Riaz
Dr.S Riaz
Eye Doctor
2822 Satisfied Customers
MS OPHTHALMOLOGY (KING GEORGES' MEDICAL UNIVERSITY, LUCKNOW, INDIA), FELLOWSHIP TRAINED