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A deep, boring pain that wakes him at night

External photographintermediate

A 55-year-old man with rheumatoid arthritis has a week of a severe, deep, boring ache in one eye that wakes him at night and spreads to the brow and jaw. The eye is red and tender to touch.

external close-up photograph of an eye, diagnosis hidden
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Low-resolution source photograph.

Same diagnosis, different appearance