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I can't believe it's not retrobulbar…
  1. Graham Johnson,
  2. Andrew Tabner
  1. Emergency Department, Royal Derby Hospital, Derby, England
  1. Correspondence to
    Dr Andrew Tabner, Royal Derby Hospital Emergency Department, Uttoxeter Road, Derby, DE22 3NE, UK; andrew.tabner{at}

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An 80-year-old man who was warfarinised for atrial fibrillation presented to the emergency department following a simple trip up a curb. There was no loss of consciousness. It was noted on scene that his right eye was starting to protrude and that his vision was rapidly deteriorating.

On arrival in the …

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  • Contributors GJ treated the patient in the emergency department. GJ and AT contributed equally to this manuscript.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.