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38 year old man who was hit in the left eye with a pool cue
Digital Journal of Ophthalmology 1996
Volume 2, Number 7
November 10, 1996
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Mark J. Lucarelli, MD | Massachusetts Eye and Ear Infirmary Peter A.D. Rubin | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA Kenneth Graham, MD | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA
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| Examination | Vision: 20/25 OD, CF @ 4 ft OS
Pupils: OD 4 --> 2, OS irregularly shaped pupil, positive left APD
Motility: Full OD, motility limited OS to about 70% in all fields of gaze
External: See Figure 1
Slit lamp examination:
- OD within normal limits
- OS examination was as follows:
- Lids and lashes: ecchymosis
- Conjunctiva: chemosis
- Cornea: 2 x 2 medial epithelial defect
- Anterior chamber: +2 cells and flare, pathologically deep
- Iris: bowed posteriorly
- Lens: pushed slightly posterior with fibrin on anterior capsule
Tonometry: 12 OD, 13 OS
Fundus examination:
- OD within normal limits
- OS showed vitreous hemorrhage with a poor view. There was no obvious foreign body. | |
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Figure 1
External photographs of the patient showing marked echymosis OS
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Figure 2
External photograph showing 360 degrees of bullous subconjunctival hemorrhage
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