December 30, 2014
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Man presents with unilateral decreased vision and eye pain

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A 67-year-old man presented with complaints of persistent, dull ocular pain, redness, photophobia, tearing and decreased vision in his right eye for 1 week. He reported the symptoms began after mild blunt trauma from his granddaughter’s toy.

Ocular history included controlled mixed-mechanism glaucoma previously treated with laser iridotomy. He was a 25-year insulin-dependent diabetic without any retinopathy. Medical history included severe coronary artery disease previously treated with cardiac bypass and restrictive lung disease. He was a former smoker. Ocular medications included dorzolamide-timolol in both eyes. Systemic medications included insulin, simvastatin, aspirin, hydrochlorothiazide, lisinopril and metoprolol.

Click here to read the full publication exclusive, Grand Rounds at the New England Eye Center, published in Ocular Surgery News U.S. Edition, December 25, 2014.