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A 36-year-old man with a red eye
Digital Journal of Ophthalmology 2008
Volume 14, Number 9
April 13, 2008
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Drew Chronister, M.D. | University of Pittsburgh Eye and Ear Institute
Evan Waxman, M.D. | University of Pittsburgh Eye and Ear Institute
A 36-year-old Caucasian man with a six-day history of right eye redness and right brow pain presented with new onset blurry vision. The pain was a mild, dull ache and was fairly constant. The redness began laterally and then spread over his entire right eye. He was seen at an outside emergency room 4 days prior to presentation where he was started on oral cephalexin for presumed preseptal cellulitis. He denied photophobia, periorbital redness or swelling, pain with eye movement, or recent trauma. His past ocular history was significant for a left eye “prosthesis” that he had had for 19 years after suffering a gunshot wound to the left eye.

His past medical history was significant for juvenile rheumatoid arthritis and rheumatic fever as a child. He had no drug allergies and his only medications were vicodin and keflex. He denied tobacco or alcohol use and was employed as a prison guard. On review of systems, he had a flu-like illness 10 days prior with fever, myalgias, nausea, vomiting and diarrhea. All of these symptoms had since resolved. He had stable chronic knee pain which was controlled with vicodin. He denied headache, cough, sore throat, shortness of breath, hemoptysis, chest pain, rash, new joint pain, cold sores, genital lesions, dysuria, or mood changes.