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