Vicki Chen, MD

A 7-month-old boy was brought by his mother to the New England Eye Center for evaluation of persistent left eye redness and left upper eyelid bruising. The mother noticed these findings 6 to 8 weeks earlier after the patient was hit by a stuffed toy on the left side of his face. There was no other history of trauma. The patient’s mother became concerned when the redness did not improve and presented to the pediatric ophthalmology clinic for evaluation.

The Ophthalmology service was consulted to evaluate a 14-year-old girl in the emergency department with unilateral proptosis. For 3 months she was symptomatic with progressive right-sided nasal congestion, and in the 2 weeks before presentation, she noted right eye tearing. She became concerned when she noticed her right eye “bulging,” and her parents brought her to the emergency department. She reported mild, vague changes in her vision as well as intermittent tearing, but she denied blurry vision, double vision, color desaturation, eye pain or pain with eye movements.

A 12-year-old girl was referred to Tufts Medical Center after 2 weeks of worsening left upper eyelid pain and left periorbital erythema plus edema.