A 60-year-old male with rosacea complains of a painful, swollen eyelid and blurred vision in one eye. What is your evaluation and plan?
This patient's symptoms suggest a possible complication of ocular rosacea, known as a stye or hordeolum, or potentially more serious conditions such as keratitis or episcleritis. He should be referred to an ophthalmologist for further evaluation and treatment, which may include antibiotics or corticosteroids, depending on the underlying cause.