History of recent UV exposure - symptoms typically occur 6-12 hrs after exposure (will present late night/early AM)
Symptoms include bilateral eye pain, foreign body sensation, lacrimation, blepharospasm, photophobia, chemosis, temporary decreased visual acuity
Eye exam (including slit lamp)
Surrounding eyelid and face may appear mildly erythematous and edematous (consistent with sunburn)
Obvious tearing, discomfort, blepharospasm on exam with relief of symptoms after instilling topical anesthetic
Fluorescein exam - Superficial Punctate Keratitis - small, pinpoint areas of increased uptake on cornea
Symptoms resolve spontaneously as cornea re-epithelializes over 48-72 hrs
Surrounding eyelid and face may appear mildly erythematous and edematous (consistent with sunburn)
Obvious tearing, discomfort, blepharospasm on exam with relief of symptoms after instilling topical anesthetic
Fluorescein exam - Superficial Punctate Keratitis - small, pinpoint areas of increased uptake on cornea
Ultraviolet keratitis
Other causes of keratoconjunctivitis
Bacterial keratitis
Viral conjunctivitis
Herpes simplex keratitis
Thygeson's Superficial Punctate Keratitis
Corneal ulcer
Dry eyes