A 52-year-old with rheumatoid arthritis has severe boring eye pain radiating to the temple, pain on eye movement and deep violaceous redness that does...

Question

A 52-year-old with rheumatoid arthritis has severe boring eye pain radiating to the temple, pain on eye movement and deep violaceous redness that does not blanch with topical phenylephrine. Vision is mildly reduced. What is the appropriate next step?

Accepted Answer

Urgent ophthalmic review for scleritis and systemic assessment

Answer

Treat as episcleritis with lubricants and routine review

Answer

Treat as bacterial conjunctivitis with topical chloramphenicol

Answer

Treat as allergic conjunctivitis with topical antihistamine

Answer

Treat as migraine without examining posterior structures

Venous Thromboembolism — MRCP Part 1 MCQ

A 52-year-old with rheumatoid arthritis has severe boring eye pain radiating to the temple, pain on eye movement and deep violaceous redness that does not blanch with topical phenylephrine. Vision is mildly reduced. What is the appropriate next step?