- Email: [email protected]
Adult male with vision loss
Visual Journal of Emergency Medicine 7 (2017) 34
Contents lists available at ScienceDirect
Visual Journal of Emergency Medicine journal homepage: www.elsevier.com/locate/visj
Visual Case Discussion
Adult male with vision loss Juwarat A. Kadiri, Sarah E. Frasure
MARK ⁎
Brigham and Women′s Hospital, Boston, MA, United States
A R T I C L E I N F O Keywords: Ocular trauma Globe rupture Vision loss
A 22-year-old male with no past medical history presented to the emergency department after a mechanical fall with severe left eye pain and associated vision loss. He was walking his dog on a leash when he tripped and fell onto the sidewalk; he was subsequently dragged multiple feet by his dog, sustaining lacerations and abrasions to his face. His vital signs were stable. His physical exam was notable for a large curvilinear laceration along the medial condyle of the left eye. Proptosis was not present. Upon manual separation of the lids of the left eye, the provider noted blood clots and was unable to visualize the pupil. A CT scan was obtained (Fig. 1) which confirmed the suspected diagnosis [1,2].
Fig. 1. Axial head CT scan.
⁎
Corresponding author. E-mail address: [email protected] (S.E. Frasure).
http://dx.doi.org/10.1016/j.visj.2016.12.003 Received 21 November 2016; Accepted 8 December 2016 2405-4690/ © 2017 Elsevier Inc. All rights reserved.
Appendix A. Supplementary material Supplementary data associated with this article can be found in the online version at http://dx.doi.org/10.1016/j.visj.2016.12.003. References 1 Arey ML, et al. Computed tomography in the diagnosis of occult open-globe injuries. Ophthalmology. 2007;114(8):1448–1452. 2 Andreoli Christopher M, et al. Low rate of endophthalmitis in a large series of open globe injuries. Am. J. Ophthalmol.. 2009;147(4):601–608.
Contents lists available at ScienceDirect
Visual Journal of Emergency Medicine journal homepage: www.elsevier.com/locate/visj
Visual Case Discussion
Adult male with vision loss Juwarat A. Kadiri, Sarah E. Frasure
MARK ⁎
Brigham and Women′s Hospital, Boston, MA, United States
A R T I C L E I N F O Keywords: Ocular trauma Globe rupture Vision loss
A 22-year-old male with no past medical history presented to the emergency department after a mechanical fall with severe left eye pain and associated vision loss. He was walking his dog on a leash when he tripped and fell onto the sidewalk; he was subsequently dragged multiple feet by his dog, sustaining lacerations and abrasions to his face. His vital signs were stable. His physical exam was notable for a large curvilinear laceration along the medial condyle of the left eye. Proptosis was not present. Upon manual separation of the lids of the left eye, the provider noted blood clots and was unable to visualize the pupil. A CT scan was obtained (Fig. 1) which confirmed the suspected diagnosis [1,2].
Fig. 1. Axial head CT scan.
⁎
Corresponding author. E-mail address: [email protected] (S.E. Frasure).
http://dx.doi.org/10.1016/j.visj.2016.12.003 Received 21 November 2016; Accepted 8 December 2016 2405-4690/ © 2017 Elsevier Inc. All rights reserved.
Appendix A. Supplementary material Supplementary data associated with this article can be found in the online version at http://dx.doi.org/10.1016/j.visj.2016.12.003. References 1 Arey ML, et al. Computed tomography in the diagnosis of occult open-globe injuries. Ophthalmology. 2007;114(8):1448–1452. 2 Andreoli Christopher M, et al. Low rate of endophthalmitis in a large series of open globe injuries. Am. J. Ophthalmol.. 2009;147(4):601–608.