![]() He could perform his own activities of daily living prior to admission. The patient attended high school with special education assistance. No family history of lagophthalmos, myopathy, or cardiomyopathy Social history Meropenem, vancomycin, caspofungin, midazolam, morphine, clonidine, vecuronium as needed (PRN), fentanyl PRN, lorazepam PRN, milrinone, epinephrine, argatroban, warfarin, aspirin, acyclovir, nystatin, omeprazole, levothyroxine Family history ![]() Moderate developmental delay, seizures (remote) Medications He had never complained of or exhibited any ocular symptoms or signs. The patient's mother recalled observing intermittent nocturnal lagophthalmos for years prior to his admission. Ophthalmology was eventually consulted due to increasing ocular redness and discharge bilaterally, despite the above therapies. He was treated intermittently with various strategies such as artificial tears on an as-needed basis, artificial tears every two hours, and erythromycin ointment three times daily. He was intubated, sedated, and mechanically ventilated throughout his hospital stay.īilateral incomplete eyelid closure (lagophthalmos) was noted by his primary team early during the course of his admission. His hospital course was complicated by renal failure, sepsis, pulmonary embolism, heparin-induced thrombocytopenia, pneumothorax, oral candidiasis, and euthyroid sick syndrome. After a diagnosis of idiopathic dilated cardiomyopathy was made, he underwent placement of a left ventricular assist device while awaiting a cardiac transplant. He was admitted two months prior due to hemoptysis, anemia, and respiratory distress. The ophthalmology service at the University of Iowa Hospitals & Clinics was consulted for a 16-year-old male inpatient in the pediatric intensive care unit. Incomplete eyelid closure and ocular redness with discharge History of Present Illness
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