You’re blind and your hair is a mess
A man presents has sudden onset painless loss of vision and his hair is mess because it was too painful to comb. Can you diagnose and manage this condition?
LITFL
Stressed and branching out
A med student is stressed out by exams and has a painful red and photophobic eye. At least her cold sores have cleared up... Herpes simplex keratitis
A Gritty Sticky Red Eye
A patient presents with sticky, gritty, red eyes. A common and easy emergency department problem, right? Conjunctivitis?
The Eye In Chemical
A 45 year-old is rushed into the emergency department by the triage nurse. He was working at a building site and got cement into his eyes. How will you assess and manage this case?
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?
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)