Dye Uptake in Surgery — 27yo Man | Ophthalmology | SMLE Q#19745
SMLE Question #19745
Surgery
Ophthalmology
Objective: OBJ-OPH-001
Last updated: April 2026
A 27-year-old man presents to the emergency department after a small wooden fragment struck his right eye while doing carpentry without eye protection. He has severe sharp eye pain, foreign-body sensation, tearing, photophobia, and difficulty keeping the eye open. He does not wear contact lenses. Examination shows conjunctival injection and mildly reduced visual acuity due to pain. Fluorescein staining under cobalt-blue light shows a linear corneal epithelial defect with dye uptake; there is no corneal opacity, infiltrate, or hypopyon. What is the most likely diagnosis?
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