A Middle Aged Female With Acute Right Eye Pain

The patient is a 51-year-old stay-at-home mother who presented to the ED with severe R brow, R cheek and R eye pain/pressure that started 2-3 hrs prior. She also noticed blurry vision from that eye and rainbow-colored halos around lights around the same time. Accompanying symptoms include acute nausea. She has vomited twice since feeling the eye pain. Denies prior episodes and flashes, floaters or diplopia.

There is mild redness in the R eye. Past Ocular History: Hx myopia OU No prior eye surgeries, trauma, amblyopia or strabismus No ocular medication Past Family Ocular History: Father: chronic angle closure glaucoma No FHx of macular degeneration or other blinding diseases. Medications: Multivitamins Review of System: Denies recent illnesses, new medications, CNS, lungs, GI, skin, joint problems. Ocular Exam Visual Acuity (cc): OD: 20/70 OS: 20/20 IOP ( tonoapplantation ): OD: 62 mmHg…