Chronic eye irritation associated with a serious sleep disorder
Matthew, a 38-year-old man with obesity, presents with an enlarging right upper eyelid mass associated with copious mucoid ocular discharge.
It is particularly severe in the morning. He works night shifts, is a heavy smoker and has a BMI of 39.
He has a background of poorly controlled hypertension despite compliance with a calcium channel blocker and ACE inhibitor. Systemic workup has failed to identify a secondary cause for his hypertension.
He has seen his GP on multiple occasions with conjunctivitis and ocular discharge associated with burning,