A patient presents to the emergency department with severe eye pain, a foreign body sensation, and significant photophobia. During the examination, a white, opaque spot is noted on the cornea. Which of the following is the most likely diagnosis based on this presentation?
The classic presentation of a corneal ulcer includes severe eye pain, a foreign body sensation, photophobia, and a visible corneal infiltrate or opacity (a white spot). Acute angle-closure glaucoma also presents with severe pain, but its key features are a hazy cornea, a fixed mid-dilated pupil, and often nausea and vomiting. Retinal detachment is typically painless and characterized by photopsia (flashes of light), floaters, and a curtain-like visual field defect. Conjunctivitis causes redness and discharge but typically does not involve severe pain or a corneal opacity.
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BCEN CEN
Maxillofacial and Ocular Emergencies
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