Emerg Med J doi:10.1136/emermed-2012-202073
  • Images in emergency medicine

Spontaneous lens extrusion: an unusual late complication of Acanthamoeba keratitis

  1. Rachel Parish
  1. Emergency Department, Royal Derby Hospital, Derby, UK
  1. Correspondence to Dr Andrew Tabner, Emergency Department, Royal Derby Hospital, Uttoxeter Road, Derby DE22 3NE, UK; atabner{at}
  • Received 21 January 2013
  • Revised 21 January 2013
  • Accepted 23 January 2013
  • Published Online First 1 March 2013

A 61-year-old retired teacher presented to our Emergency Department (ED) in August 2011 after experiencing the sensation of an object ‘falling out of her eye’. She brought the object into the department in a wine glass (figure 1).

Figure 1

Extruded lens.

History included treatment for Acanthamoeba keratitis …

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Among patients with minor TBI (GCS 13-15) getting CT scans ≥ 24 hours after injury, what proportion have a traumatic finding?


0.5% - 43% response rate
3% - 41% response rate
10% - 16% response rate

Related original article: PCT head imaging in patients with head injury who present after 24 h of injury: a retrospective cohort study

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