Left eye pain and discharge in a 44-year-old male | Figure 1
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Left eye pain and discharge in a 44-year-old male
HISTORY OF PRESENT ILLNESS
A 44-year-old male with no significant medical history presented to the ED with several days of worsening left eye pain, discharge and decreased vision, as well as swelling and redness to the eyelid and surrounding tissue. He did not wear contact lenses or eyeglasses. The patient currently could not see from his left eye. He denied fevers, headaches or recent trauma to the eye, although he did report a foreign body sensation to the eye several days prior to the onset of these symptoms. He denied experiencing similar symptoms in the past.
PHYSICAL EXAMINATION
GENERAL APPEARANCE: The patient appeared to be in no acute discomfort.
VITAL SIGNS
- Temperature: 98.1◦F (36.7◦C)
- Pulse: 75 beats/minute
- Blood pressure: 135/85 mmHg
- Respirations: 22 breaths/minute
- Oxygen saturation: 100% on room air
EYES: The visual acuity of the right eye was 20/40; the right pupil was round and reactive to light. No vision or light perception was elicited from the left eye. The left upper and lower eyelids were swollen and erythematous. A thick yellow-green discharge exuded from the left orbit; the pupil could not be examined secondary to the thickness and adherence of the exudates. The left eye was proptotic.
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