Medical Must-See: More than meets the (very red) eye
Imaging overturned an initial suspicion of scleritis.
This painful red eye in an elderly man with chronic lymphocytic leukaemia coloured his doctors’ initial diagnosis.
The 79-year-old presented to Swiss ophthalmologists after developing acute ocular pain, intense left-sided conjunctival chemosis and mild anterior chamber inflammation accompanied by fine keratic precipitates, suggestive of scleritis.
Best-corrected visual acuity was 20/100 and intraocular pressure measured 10mmHg, the doctors from Geneva University Hospitals said.
Fundus examination revealed extensive serous choroidal detachments, later confirmed by B-scan ultrasonography.
