The patient is an 11-year-old male who reports a 4-day history of irritation and itching, first in the left eye followed by the red eye one day later. Both eyes have also had a mild yellow discharge and mattering of the eyelids making it difficult to open the eyes in the morning. There is minimal eye redness but no foreign body sensation, flashes, floaters, decreased vision or diplopia. Not using any drops. No environmental exposures to the eyes.

Past Ocular History: No history of eye trauma, surgery, amblyopia or strabismus. No history of contact lens use. Ocular Medications: None Past Family Ocular History: No history of glaucoma, macular degeneration or other blinding diseases Allergies: None What could be the cause of this eye condition? *This case is from Docplexus editorial team for educative purpose only. Source: Case files at Medical College of Wisconsin