Sunday he got me up at 2am crying about the pain. I took him to the ER. The doctor barely tried to pry the eye open to look at it, said it was pink eye that had migrated to the socket, wrote him a prescription for anti-biotics and Tylenol with Codeine, and sent us home.
He seemed fine in the morning, but by 2pm he was in agony again. I gave him the Tylenol and took him to the urgent care. The nurse and doctor were nice enough to come out and look at him without admitting him, took one look, and said to get him back to the ER ASAP. Something was said about infection and pressure and the damaging effects of it cutting off the blood supply to the eye.
Back to the ER we went. This time the doctors and nurses freaked out. They started him on IV antibiotics, drew blood, and did some CT scans.
The phrase "orbital cellulitis" was bandied about. The possibility of surgery was raised. About six hours later they decided to have him transported to another hospital with pediatric specialists and much nicer rooms. Finding a spare ambulance took another few hours.
He and I arrived at the new hospital in the wee hours of Monday. Once here they installed him in his room, asked a lot of questions, and said he might have surgery later in the day. If so, he'll be here a few days. If not, he may still be here a few days. They're giving him a constant drip of IV antibiotics and I'm not seeing a change yet. I know oral antibiotics take about 72 hours to manifest change, but these are much stronger so I'm not sure how long they should take. He's only been on them 16 hours or so thus far, I suppose.
Today the two specialists are supposed to take a look at his test results and scans. Surgery seems likely, but maybe that's just me. Seems like you either wait a day to see if the antibiotics are working and then do surgery if they aren't, or play it safe and just go straight to surgery now. If there's pressure and it's not draining on its own, you need to drain it.
The TV in the room is one of those hospital network set-top boxes things. It was broken in several ways, and unusable, so I fixed it. Alas, no Cartoon Network. Apparently they have video game systems they can wheel in, though. (I wonder if this hospital is a Child's Play beneficiary?)
UPDATE: His optic nerve is fine. His brain is fine. His vision seems fine. The swelling is going down. They're giving him stuff to help his sinuses to drain. We're definitely not leaving before Wednesday, and chances are we'll be here a whole week.