Journal of the American College of Emergency Physicians Open· 2026Q1
Man With Eye Pain, Vision Loss, and Hip Pain
- 0citations
- Q1SCImago
- 2026year
Short summary
A 47-year-old man presented with sudden vision loss in his left eye and hip pain, later developing a high fever (39.6°C) and signs of left eye afferent pupillary defect and right hip tenderness.
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Key points
- Patient presented with 1 day of sudden, painful left eye vision loss.
- Patient also reported 3 weeks of atraumatic right hip pain.
- Developed a fever of 39.6°C four hours after initial presentation.
- Left eye showed no light perception and a relative afferent pupillary defect.
- Right hip was tender to palpation with positive femoroacetabular impingement.
AI-generated from the title and abstract; the full text is not read.
Abstract
A 47-year-old man without any past medical history presented to the emergency department with 1 day of sudden onset, painful left-sided vision loss. The patient also reported 3 weeks of atraumatic right hip pain. The initial examination was remarkable for a thin, well-appearing man in no acute distress. He was afebrile at triage, but 4 hours later, his temperature was 39.6 °C (103.2 °F). He had no light perception in his left eye. When shining a light into the left eye, the right pupil dilated. The right hip was tender to palpation over the greater trochanter, with full range of motion and positive femoroacetabular impingement.
The authors' abstract, as published at the source. Journal of the American College of Emergency Physicians Open, 2026 · DOI ↗
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Field: Ophthalmology
OphthalmologyMedicine