By: Pauline Terbio, DO PGY-3,
Reviewed by: Amy Urban, MD
74-year-old male presented to University Medical Center Trauma Resuscitation ED as a transfer for higher level of care for unknown etiology of vision loss. He had a mechanical fall at home 3-4 hours prior to evaluation. He fell forward causing his face to hit the ground and now, is only able to see “blurry shapes” through his right eye. He denies change in vision to left eye. He uses corrective lenses for reading only. He has history of multiple corneal transplant and cataract surgeries to both of his eyes years ago. He is on warfarin for atrial fibrillation. CT head and C-spine are negative from the outside facility.
Casson RJ, Walker JC, Newland HS. Four-year review of open eye injuries at the Royal Adelaide Hospital. Clin Exp Ophthalmol 2002; 30:15.
Figure 1 . https://www.seevividly.com/picture/385/eye_muscles_image_wiki
Figure 2. https://www.aao.org/topic-detail/trauma--europe
Tintinalli JE, Ma O, Yealy DM, Meckler GD, Stapczynski J, Cline DM, Thomas SH. eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 9e. McGraw Hill; 2020.
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