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Seen in the ED: Headache and Eye Pain in a Young Adult Man
The man, in his 30s, has seen 2 specialists, received 2 diagnoses, and is now in the ED for persistent pain that is worsened by eye motion. Can you dx?
History of present illness
A man in his 30s presents to the emergency department with 2 days of ongoing left ocular pain with associated headache. He was seen 2 days ago earlier by a local ophthalmologist and was diagnosed with dry eyes. Yesterday he was seen by your EM colleague and diagnosed with a migraine. He denies any visual disturbance, blurry vision, or double vision, but his pain is worse with eye motion.
Vital signs & physical examination
Vital signs are normal. Physical exam is otherwise normal except for images shown below. Intraocular pressure is 12 mm Hg in each eye (normal <21 mm Hg).
What is the most likely diagnosis?
Alcohol Use at Any Level Linked to Higher Dementia Risk, Large Study Finds
September 24th 2025A study of more than 559 000 adults and 2.4 million genetic samples found that alcohol consumption of any amount increases dementia risk, challenging prior evidence of protective effects from light drinking.
