Presented to the emergency department with chief complaint of bilateral, left greater than right, eye swelling and pain since she woke up in the morning. The pain was worse with lateral and medial gaze. The patient also had intermittent episodes of blurry vision and multiple episodes of vomiting. The pain and blurry vision was relieved by looking straight ahead. Patient denied photophobia or prior similar episodes. The review of systems was otherwise noncontributory.