History of Present Illness (HPI)
A 58 year old male with a 5 year history of poorly controlled T2DM complicated by peripheral neuropathy and claudication, non-obstructive CAD, obesity, HLD, NAFLD, CKD3, OSA, and bilateral knee OA presents with 2 days of severe right eye pain, periocular headache, and vision loss. He denies trauma, flashes, floaters, or discharge. Of note, the patient says he wore colored contacts a few nights ago and fell asleep in them. He removed them the next morning when he woke up and has not worn them since. He has tried tylenol and advil for the pain without relief. His last eye exam was 2 years ago at which time he reports receiving “eye injections” for his diabetes.
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Case 6 Index