A 46-year-old female presented with double vision and vision distortion. She complained of diplopia for the past two months and had to wear a patch on her right eye. Three months prior to her visit, she noted a large blood vessel above her right eye. She also complained of a whooshing sound for 2-3 months in her right ear.
History The patient had been involved in a bicycle accident four months ago in which she had sustained a zygomaticomalar complex fracture. Three weeks after the accident, her ophthalmologist had noted no diplopia or gaze restriction. Physical examination Visual acuity without correction was observed to be 20/20 OD and 20/20 OS Extraocular motility was 3 abduction deficit OD and full OS The intra-ocular pressure was observed to be 14 mmHg OD and 12 mmHg OS Pupils OD 6 mm dark, 4 mm light and OS 6 mm dark and 4 mm light with no RAPD Venous engorgement of the upper and…
