This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on ISI (2)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Public Health  • Injury Prevention & Control  • Alert me on articles by topic

Alejandro Espaillat, MD; King To, MD
Providence, RI

Corresponding author: King To, MD, Department of Ophthalmology, Rhode Island Hospital, 593 Eddy St, Providence, RI 02903 (e-mail: king_to@brown.edu).

Arch Ophthalmol. 1998;116:540-541.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 21-YEAR-OLD man was admitted to the emergency department after a motor vehicle crash. The patient was not wearing a seat belt when his vehicle crashed into a wall. His visual acuity was 20/200 OD and no light perception OS, with moderate periorbital edema and ecchymosis in both eyes. Intraocular pressure was 12 mm Hg OU. Pupillary examination showed a 4-mm reactive pupil in the right eye and a 7-mm nonreactive, fixed and dilated pupil in the left eye. Slitlamp examination revealed a 10% hyphema in both eyes. Dilated fundus examination for the right eye was remarkable for subretinal and intraretinal hemorrhages with a choroidal rupture (Figure 1). The left eye revealed vitreous and preretinal hemorrhages associated with an avulsed optic nerve (Figure 2). A computed tomographic (CT) scan of the head and orbits showed a high-density material coming directly . . . [Full Text of this Article]

COMMENT