Grand Rounds
  Most Recent Cases
  Dates of Case
  Type of Case
  Submit a Grand Round.
  Register with DJO to receive personalized updates.

If you're already a
member, please sign in.
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
Printer Friendly



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
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.
top
Figure 1
External photographs of the patient showing marked echymosis OS

Figure 2
External photograph showing 360 degrees of bullous subconjunctival hemorrhage