Case Presentation

An 82 year-old male with a past medical history of prostatecancer, atrial fibrillation, gout, and recently diagnosed myelodysplasticsyndrome presented with a chief complaint of left eyepain. The patient also reported peri-orbital numbness, swelling,and clear discharge as well as episodic blurry vision of his lefteye. Over the previous two months he had been admitted to thehospital multiple times complaining of cough and high feversand was subsequently treated with several courses of antibioticsfor presumed pneumonia. During the initial admission forpneumonia he was noted to have a relative pancytopenia. Abone marrow biopsy was eventually undertaken revealing adiagnosis of myelodysplastic syndrome (MDS).