Red Eye And Pain: Diagnose This Injured Policeman

A 42-year old policeman reported to the clinic with red-eye after he was hit in the eye with an elbow by a drug dealer during a sting operation. He complained of blurry vision along with tenderness in eye, brows and cheekbones. He had no past ocular history or family history of ocular symptoms. He, however, had a medical history of type 2 Diabetes Mellitus, hypertension and sickle cell trait. He was a social drinker but denied taking any illicit drugs or cigarettes. He was on the following drugs: Metformin, Glipizide, Aspirin 81mg and Hydrochlorothiazide.

Ocular Examination: Visual Acuity (cc):OS: 20/40, OD: 20/20 IOP (tonoapplantation): OS: 23 mmHg, OD: 15 mmHg Pupils showed normal pupil reaction in right eye and sluggish Left pupil. No APD was observed. No nystagmus and full OU extraocular movements were observed. Confrontational Visual Fields were normal. Dilated Fundus Examination…