Left eye pain and vision changes, evaluate for optic neuritis. Per EPIC, pain OU after waking up 2 nights ago and egg/oval shaped spot in FOV (nasally about 9 o'clock) OD. Also has chorioretinal scar, right and bilateral ocular rosacea. There is mild asymmetric prominence of the cerebrospinal fluid surrounding the left optic nerve, which appears similar to prior examinations. The optic nerves themselves are symmetric and normal in size and signal intensity. The extraocular muscles are unremarkable. There is no intraorbital mass or abnormal enhancement. However, there appears to be mild diffuse thickening and enhancement of the bilateral eyelids. There is no optic chiasm mass or parasellar abnormality.
1.Mild unchanged asymmetric prominence of the cerebrospinal fluid surrounding the left optic nerve, which may be a normal variant, but no evidence of optic neuritis.2.The bilateral eyelids appear to be mildly swollen, which may correspond to the clinically reported blepharitis.