GA is a 29-year-old woman with a long history of problems with her right eye. She was born with a severe optic nerve coloboma (“morning glory syndrome”) and had two episodes of retinal detachment in that eye. The scleral buckle placed in the first retinal surgery began to extrude after 10 years and caused moderate discomfort. This element was removed but the retina redetached after a year and she underwent another operation with the injection of silicone oil into the eye. The retina remained attached and she later underwent removal of the oil with a concurrent cataract surgery with intraocular lens implantation. She did well until about 5 months before presentation at the ophthalmologist’s office with the complaints of pain and tenderness in that eye. Examination was unremarkable for a cause of the pain with a quiet eye noted on slit-lamp and ophthalmoscopic examination. A head and orbital computed tomography (CT) scan was read as normal.
KeywordsHerpes Zoster Giant Cell Arteritis Morning Glory Scleral Buckle Intraocular Lens Implantation
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