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I’ve blown my nose!
  1. Daan Schuur1,
  2. Danial Mohabati2,
  3. Bart van der Weerd1
  1. 1 Emergency Department, LUMC, Leiden, Zuid-Holland, The Netherlands
  2. 2 Opthalmology, LUMC, Leiden, Zuid-Holland, The Netherlands
  1. Correspondence to Mr Daan Schuur, Emergency Department, LUMC, Postbus 9600, 2300RC, Leiden, The Netherlands; daanschuur{at}

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Clinical introduction

A healthy 53-year-old man presented to the emergency department with a swollen lower eyelid, that emerged after blowing his nose. He had a one-sided scooter accident earlier that day. Initially, he had no problems, but contacted his general practitioner when the swelling emerged.

Examination of the eye showed swelling of the left lower eyelid with a small haematoma and palpable crepitus. Multiple small vesiculae were noticed on the temporal bulbar conjunctiva (figure 1). Patient had perfect vision, no eye movement restrictions and normal pupil reflexes. Further physical …

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  • Contributors All authors contributed equilly to the manuscript. DS and DM were directly involved in patient care. BvdW was the supervising physisian.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

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