A 68-year-old man presented to the clinic with bilateral eye redness and pain for the past 6 months. He had a history of dry eye disease for which he was treated with preservative-free artificial tears. He also noted a medical history of well-controlled HIV with highly active antiretroviral therapy. His last CD 4 lymphocyte count was 750 cells/mm³ with an undetectable viral load. A review of system produced negative results, including absence of weight loss, fevers, headache, joint pain, respiratory symptoms, or skin rash. The patient reported having unprotected sexual contact with multiple male partners in the past few years.

中文翻译：

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中年男子双眼红肿疼痛

一名 68 岁男子因双侧眼睛发红和疼痛 6 个月来就诊。他有干眼病史，为此他接受了不含防腐剂的人工泪液治疗。他还提到了通过高效抗逆转录病毒疗法控制良好的 HIV 病史。他最后的 CD 4 淋巴细胞计数为 750 个细胞/mm ³，病毒载量不可检测。对系统的审查产生了负面结果，包括没有体重减轻、发烧、头痛、关节痛、呼吸道症状或皮疹。该患者报告在过去几年中与多个男性伴侣进行了无保护的性接触。