A 61-year-old man was referred to Tufts Medical Center for evaluation of discomfort in his right eye. He reported experiencing dull pain in the eye associated with redness and increased tearing for the past several months.
The patient used artificial tears in the past without significant relief of symptoms. Additionally, he reported “increased fat” beneath his right eye, causing his eye to point upward, and he was unhappy with the appearance. At the time of presentation, the patient denied visual changes in his unaffected left eye and was blind in his right eye since childhood