27-year-old Man in Surgery — 27yo Man | Ophthalmology | SMLE Q#18641
SMLE Question #18641
Surgery
Ophthalmology
Objective: OBJ-OPH-001
Last updated: February 2026
A 27-year-old man presents after a small wooden splinter struck his right eye. He has severe eye pain, foreign-body sensation, tearing, inability to keep the eye open, and marked photophobia. He does not wear contact lenses. Examination shows conjunctival injection and mildly reduced visual acuity due to pain; pupils are equal and reactive. Fluorescein staining under cobalt-blue light shows a linear area of bright green uptake on the corneal epithelium without stromal infiltrate or corneal opacity. What is the most likely diagnosis?
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