History
A 33-year-old black female presented for an evaluation of a red and painful right eye.

Three days earlier, she had gone to the emergency room explaining that her eye hurt when she woke up. The attending physician diagnosed conjunctivitis and treated her with sulfacetamide. Feeling worse, she presented for an ophthalmologic evaluation. Her systemic history was noncontributory.

Diagnostic Data
Her best-corrected visual acuities were 20/70 O.D. and 20/20 O.S. at distance and near. External examination was normal with no evidence of afferent pupillary defect.

The patient presented with this anterior segment appearance.
The photograph demonstrates the pertinent anterior segment findings.
Applanation intraocular pressures measured 19mm Hg in both eyes. The dilated fundus findings were normal O.U.

Your Diagnosis
How would you approach this case? Does this case require any additional tests? What is your diagnosis? How would you manage this patient? Whats the likely prognosis?


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Vol. No: 141:03Issue: 3/15/04