A 42-year old female presented in the ophthalmology OPD with the chief complaints of red left eye for the past two months with recent onset of vertigo and otalgia. On occasion, the left eye has been "aching" with a "pressure sensation". Despite a course of antibiotics to treat a suspected sinusitis, her symptoms persisted and gradually worsened with time. In the past month she also developed vertigo, nausea, otalgia, diminished appetite, as well as progressively worsening vision. Acetaminophen provided moderate relief from her pain.
She denied any hearing loss, diplopia, fever, cough, rhinorrhea, otorrhea, tinnitus, and vomiting. Past Ocular History: Unremarkable for surgery or trauma. Other history as noted above. Medical History: History of hypothyroidism, Type II diabetes mellitus, nonalcoholic steatohepatitis, polycystic ovarian syndrome, uterine fibroids, fibromyalgia, Celiac's…
