Blinded By The Light
A man has intense bilateral eye pain and refuses to open his eyes after a day of welding, surfing and lying on a sunbed. What is the diagnosis and emergency management?
Category LITFL
Katz-Wachtel phenomenon
Katz-Wachtel phenomenon: Large biphasic QRS complexes (tall R waves + deep S waves) in V2-5. First described by Louis Nelson Katz in 1937
Pupils And Prostitutes
On examining a patient's eyes you note that the pupils are small, irregular, non-reactive to light and constrict when focused on a near object.
The Aching Red Photophobic Eye
A man has an aching red eye and both direct and consensual photophobia. Is this anterior uveitis? What is a hypopyon?
Ocular Ultrasound Challenge
Eyes are the perfect organ for ultrasound assessment in the emergency department. Think you know all about ocular ultrasound?
Blown out
A 26 year-old man presents with left periorbital swelling and double vision after being hit in the eye by a high-speed squash ball.
Eyes Wide Split
What are the considerations in the emergency department diagnosis and management of penetrating eye trauma?
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?