A 22-year-old woman diagnosed with Crohn's disease presents with painful vision loss in her right eye. Examination reveals a red, painful eye with a small pupil and inflammation inside the eye. What is the most likely diagnosis and what is the management?
This patient likely has iritis or uveitis, which are types of eye inflammation that can occur as extraintestinal manifestations of IBD. She should be urgently referred to ophthalmology for evaluation and treatment, which typically includes corticosteroid eye drops and possibly other immunosuppressive therapy.