A 32-year-old patient presents to the emergency department complaining of a painful, red right eye that began earlier in the day. She reports marked sensitivity to light and that her vision seems slightly blurred. Examination reveals circumlimbal redness (ciliary flush), tenderness when the globe is gently palpated through the closed eyelid, and no discharge. Which ocular disorder best explains this collection of findings?
Anterior uveitis (iritis) is inflammation of the iris and ciliary body. It typically causes a unilateral painful red eye with ciliary flush, photophobia, globe tenderness, and mild blurring or reduction of vision. Conjunctivitis usually has little pain and preserves visual acuity; acute angle-closure glaucoma produces severe pain and markedly elevated intraocular pressure; episcleritis causes sectoral redness with minimal pain and normal vision. Therefore, anterior uveitis is the most consistent diagnosis in this scenario.
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BCEN CEN
Maxillofacial and Ocular Emergencies
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