Eyes Wide Split
What are the considerations in the emergency department diagnosis and management of penetrating eye trauma?
Category Clinical Cases
LITFL Clinical Case Collection. Over 250 Q&A style clinical cases to assist Just in Time Learning and Life Long Learning. Cases are categorised by specialty and can be searched by keyword from the database table
Flashing And Floating
A patient has 'flashes and floaters' affecting his vision. What could be the causes? Posterior vitreous detachment (PVD)
Something in my eye, Doc
A mechanic presents with something in his eye. Can you navigate the traps and pitfall of assessing and managing this common emergency presentation?
That optic disc doesn’t look right…2
A elderly man is found in his home unconscious after his son was unable to contact him on the phone. What does fundoscopy show? Papilledema
That optic disc doesn’t look right…
Can you diagnose these conditions characterised by the presence of an abnormal optic disc appearance? Can you provide ED management for these conditions?
A Curtain Descends
A 50 year-old man presents with 'a curtain coming down across his vision', preceded by 'flashes and floaters'. What is the diagnosis and management?
Blind, Aching and Vomiting
A woman presents with decreased vision and an aching pain in her right eye. She now has a headache and starts to vomit. What is the diagnosis and treatment?
Coughing Kid and a Blood Red Eye
A 14 year-old boy is brought into the emergency department by his weary mother. She is worried about bleeding under the surface of his eye. Now what?
A Pox On Your Eye
An elderly woman presents to the emergency department with a 3 to 4 day history of a painful rash on her face. zoster ophthalmicus
Exasperating Eyelids and the Red Eye
aka Ophthalmology Befuddler 005 A man presents with a diffusely red eye and a problem with his eyelids. You resist the urge to send out a ‘Trauma Call‘ and start wracking your brains for everything you know about eyelid disorders.…
The man who blinked too much
The nurse half chuckles and shakes her head as she hands you the next chart. It seems your next patient's main problem is that he can't stop blinking!
An Eyelid Lump
A 28 year-old man presents to the emergency department with a lump on his eyelid. He's getting married in 2 weeks. What are you going to do about it?