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Image challenge
Eye injury preventing the eye from opening or closing
  1. Kotaro Kunitomo1,
  2. Daisuke Eiki2
  1. 1 Department of General Medicine, NHO Kumamoto Medical Center, Kumamoto, Japan
  2. 2 Department of Ophthalmology, NHO Kumamoto Medical Center, Kumamoto, Japan
  1. Correspondence to Dr Kotaro Kunitomo, Department of General Medicine, NHO Kumamoto Medical Center, Kumamoto, 860-0008, Japan; m05035kk{at}yahoo.co.jp

https://doi.org/10.1136/emermed-2024-213885

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    Clinical introduction

    An octogenarian presented to the hospital post-fall from a bed, sustaining left facial and chest bruises without consciousness loss. He had diabetes, hypertension, stroke and atrial fibrillation, and was on aspirin 100 mg and edoxaban 30 mg daily. Vital signs were stable. Examination showed left periorbital swelling and anterior thoracic bruising. He had impaired left eye movement (figure 1A). Figure 1B depicts the opened left eye, revealing a 360° conjunctival bulge encircling the cornea. The left eye exhibited a prompt …

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    Footnotes

    • Handling editor Sarah Edwards

    • Contributors KK identified significance. KK wrote the manuscript, while DE revised it. Both authors approved the final version of the manuscript.

    • 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; externally peer reviewed.