Clinical Case Database / Category: Patient Management

"Doctor, I think I have grit in my eye"

Publication details

Dr Preeti Gill MBBS, Dr Omar Rafiq, Ms Fiona Bishop
Foundation Years Journal, volume 4, issue 6, p.9 (123Doc Education, London, June 2010)


You are an FY2 doctor in ophthalmology, seeing patients in eye casualty. A 37-year-old gentleman walks in with a 3-day history of a red and sore right eye. He felt something go into his eye 3 days ago, while he was at work. He thought he had managed to blink it out at the time, but is still experiencing a gritty sensation in his right eye. He has also noticed that the eye is red.

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Dr Preeti Gill MBBS

FY2 Ophthalmology

Dr Omar Rafiq

ST2 Ophthalmology

Ms Fiona Bishop

Consultant Ophthalmologist
Ophthalmology Dept


1. Duke-Elder WS (1954) Retained Foreign bodies. In Textbook of Ophthalmology, 1st edn. London: Henry Kingston, pp. 6125–6152.
2. Smith GT, Dart JKG (2008) Cornea. In TL Jackson (ed.) Moorfields Manual of Ophthalmology, 1st edn. London: Mosby Elsevier, pp. 144–148.
3. Goyal S, Barsam A, Tuft S (2009) External Eye Disease. In Sundaram V, Barsam A, Alwitry A, Khaw PT (eds) Training in Ophthalmology: the Essential Curriculum, 1st edn. New York: Oxford University Press, pp. 64–65.


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.