Case Presentation
We present the case of a 56-year-old Indonesian man who presented to emergency department with four-day history of fever and two-day history of sudden-onset right-sided eye pain, redness, and loss of vision. The patient was in his usual state of health prior to the current presentation. Fever was associated with chills and headache, relieved with paracetamol. He experienced right eye redness, yellowish ocular discharge, painful right eye movement along with sudden onset loss of vision. He denied any history of trauma, ophthalmic conditions or surgeries, abdominal pain, nausea,vomiting, dysuria, cough, shortness of breath, or neck pain. Upon examination, he was found to be febrile (38.1 C), blood pressure 139/92 mmHg, heart rate of 116 beats per minute, respiratory rate of 22 breaths per min, and oxygen saturation of 99% on room air. Ophthalmological examination revealed right eyelid and periorbital swelling, impaired right visual acuity with increased intraocular pressure (Table 1). The restĀ of the physical examination was unremarkable. Right eye endophthalmitis was suspected and urgent computed tomography (CT) of both the orbits did not reveal any obvious radiodense foreign body in both orbital cavities.
Table 1 : Ophthalmological examination of both eyes