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18 year old man with decrease in vision OD after being struck with a tree branch
Digital Journal of Ophthalmology 1998
Volume 4, Number 24
November 2, 1998
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Peter A. D. Rubin, MD | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA
Jerry K. Popham, MD | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA
Kenneth Graham, MD | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA
Examination
Vision: OD Count Fingers at 6 feet; OS 20/20
Confrontational visual fields: full
External exam: No proptosis Right upper lid ptosis and mild edema 3 mm linear laceration over the medial canthus OD Decreased sensation in V1 distribution on the right
Pupils: 3 --> 2 OD 4 --> 3 OS
Motility: Full OS
Slit lamp examination: Conjunctiva- white/quite/ no chemosis OU Cornea- clear/quiet OU Anterior chamber- deep/quiet OU Iris- normal, round pupil OU Lens- clear OU
Tonometry: OD 22, OS 21
Fundi: Disc margins sharp OU, normal macula, vessels and disc OU
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