18 y/o boy rushes to ER with h/o trauma with a cricket ball | Figure 1

Ammu_M

Emergency Medicine Resident

18 y/o boy rushes to ER with h/o trauma with a cricket ball right over the right eye.

He arrived in ER after 2 hours of trauma. Patient complained of pain and blurriness in his right eye.

On local eye examination, this is how it looked like (in pics above).

All vitals stable.

Referred him to higher center for further investigations after making sure patient was stable.

What is your diagnosis and how would you manage such a case?

Thank you.

Similar cases

Patient came into the Er approximately an hour after the trauma occurred (thrown rock). 80% occluded.

35 y/o female c/o mild unilateral fascial edema mainly in rt upper eyelid and rt maxilla and nasolabial with eye pain. No hx of trauma. No past medical hx. All lab work normal including thyroid function test. How to manage this case? What is the DD? No neuro muscular deficit.

28 y/o patient after eye trauma by glass. The eye was removed with orbital plasty + prosthesis. (evisceration).

Contact wearer c/o right eye pain after removing contact and cleaning face. Has FB sensation in right eye. No visual changes/disturbances. Pain resolved w tetracaine gtts ophthalmic.

Patient in late teens presenting after a collapse. No chest pain, no previous cardiac history, no history of sudden death in family. Are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?