A 43-year-old male presented with pain in his left eye, conjunctival hyperemia, and mucous-purulent secretions. He had no significant medical history. His visual acuity (VA) was around 20/20. He was diagnosed with bacterial conjunctivitis and was advised topical tobramycin and diclofenac eye drops. His clinical condition worsened and he presented later again with eyelid margin telangiectasias, eyelid edema, and erythema. His conjunctival hyperemia and secretions also increased. There was no change in his examinations and his ocular motility was normal.
He was diagnosed with preseptal cellulitis, and was admitted and given intravenous antibiotics and ibuprofen. He was discharged five days later but since the symptoms persisted, his secretions were sent for culture test. The results were negative. Two days after his discharge, his pain increased. His VA dropped to 20/25. His symptoms did…
