Peter A.D. Rubin, M.D.,F.A.C.S. | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA Ramin Tayani, M.D., M.P.H. | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA
On admission, the patient was found to be in significant distress and pain.
Vision: 20/20 OD, 20/200 OS Pupils: 2+ afferent pupillary defect OS Motility: 3 in all fields OD, 1-2 in all fields OS External: No lymphadenopathy, no sinus tenderness. A soft cystic lesion was palpated in the preauricular region on the left side 2 mm of lagophthalmos Slit lamp examination: OD: WNL; OS: chemosis, corneal exposure. Otherwise normal Fundus examination: OD: WNL; OS: opitc nerve head edema, Retinal striae