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.
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.
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
No comments:
Post a Comment