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Image challenge
A man with left eye blurred vision
  1. Hung-Si Tan1,
  2. Yen-Wei Chiu2,
  3. Wei-Jing Lee1
  1. 1 Emergency Medicine, Chi Mei Medical Center, Tainan, Taiwan
  2. 2 Department of Emergency Medicine, China Medical University Hospital, Taichung, Taiwan
  1. Correspondence to Dr Wei-Jing Lee; saab931103{at}yahoo.com.tw

https://doi.org/10.1136/emermed-2024-214143

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    Case presentation

    A 61-year-old man presented to the ED with left eye pain and blurred vision, after being hit by tree branches while riding his motorbike. His only medical history was hypertension. The ophthalmological evaluation revealed a laceration on the left upper eyelid and conjunctiva with inferior rectus muscle dehiscence. His visual acuity based on a Snellen chart was 0.2 in the left eye. Elevated intraocular pressure of 26 mm Hg was measured by a handheld tonometer. Point-of-care ultrasound (POCUS) of the left eye was performed (figure 1).

    Figure 1

    Ocular ultrasound of the left eye using high-frequency linear probe.

    Question

    What is the most likely diagnosis

    1. Retrobulbar haematoma

    2. Retinal …

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    Footnotes

    • Handling editor Sarah Edwards

    • Contributors My colleagues and I provide equal contribution.

    • 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.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.