Hoagland sign in primary care

Abstract

A 28-year-old teacher submitted an e-consultation to her GP containing a photograph of her right eye (Figure 1). A telephone consultation followed, which revealed further history; she reported 5 days of gradual onset of rightsided painless periorbital oedema. She denied a history of preceding illness, visual or systemic symptoms, trauma or known exposure to new potential allergens. The patient did not have a significant medical history, she was not taking regular medication and did not have any known allergies. She was managed with topical chloramphenicol drops and oral antihistamines. Safety-netting advice was given to re-present if symptoms did not improve.