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 (4)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Ophthalmology, Other  • Alert me on articles by topic

Alejandro Espaillat, MD; Yoash Enzer, MD; Stephen Lipsky, MD
Providence, RI

Arch Ophthalmol. 1998;116:824-825.

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

THIS 16-YEAR-OLD girl was admitted to the Emergency Department after she was impaled by a large metal object. Her history revealed that she was in the rear of a top-down convertible that was traveling at highway speed when the injury occurred. Initially the patient was conscious with stable vital signs, but she was sedated and intubated by the emergency personnel to prevent movement. Visual acuity on admission was not able to be obtained because the patient was unresponsive. Examination revealed left eyelid and forehead lacerations and a large metal rod protruding from the left temporal area (Figure 1). Proptosis was noted in the left eye, with intraocular pressures of 16 mm Hg OD, and 42 mm Hg OS. Results of pupillary examination showed a reactive pupil in the right eye of 4 mm, and a nonreactive 8-mm, fixed, and . . . [Full Text of this Article]

COMMENT