Man presents with red eye and ocular hypertension

A 55-year-old male construction worker with no ocular history presented to the Tufts New England Eye Center Comprehensive Ophthalmology Clinic for evaluation of persistent left eye redness with elevated IOP of 3 months’ duration. The red eye had occurred abruptly 3 months prior, and the patient had attributed it to getting grass clippings in his eyes while doing yard work. When the redness persisted for several months, he sought care from an outside eye care provider.At this initial evaluation, the patient was noted to have marked injection of the left eye and an IOP of 28 mm Hg in the left eye compared with 14 mm Hg in the right eye. According to the notes from the referring provider, a diagnosis of glaucomatocyclitic crisis was suspected, and the patient was started on prednisolone acetate four times a day. When no improvement was noted at follow-up 6 weeks later, he was referred to the New England Eye Center for evaluation.