Darryl is 35 and presents to urgent care with the following complaints: Redness of the left eye. He says it feels like there is something in his eye, though the sensation persisted even after he flushed the eye. The eye feels itchy and very dry. He noticed the dryness several days ago and has been treating it with OTC lubricant eye drops. On physical exam, the eye is very inflamed and tears
easily. A check for a foreign body was negative. The patient does have a pterygium near the nasal side of the eye. Darryl was given a referral to an ophthalmologist for definitive treatment.
Dx. Pterygium
First-listed diagnosis: ________
Fill in the blank with correct word.
Answer: Pterygium – left eye – H11.002
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