Review Question - QID 214876

A 37-year-old man presents to the emergency department after getting hit in the face while playing basketball 1 hour ago. He states that he was playing basketball when he was elbowed in the left eye. He did not lose consciousness but does complain of eye pain and blurry vision since the event. The patient is otherwise healthy and does not take any medications. His temperature is 97.7°F (36.5°C), blood pressure is 128/83 mmHg, pulse is 72/min, respirations are 16/min, and oxygen saturation is 98% on room air. Physical exam of the left eye reveals conjunctival injection, photophobia, and sluggish contraction of the pupil. Visual acuity is 20/20 in the right eye and 20/100 in the left eye. There is no pain with extraocular movements. Which of the following is the most likely diagnosis?