Stellwag Sign
Stellwag Sign: decreased, incomplete or infrequent blinking in patients with exophthalmic goitre (Graves-Basedow disease). Stellwag sign may also seen in progressive supranuclear palsy, and in dysthyroid eye disease
Category Ophthalmology
Horner Syndrome
Horner syndrome is associated with an interruption to the sympathetic nerve supply of the eye. It is characterized by the classic triad of miosis, partial ptosis, and anhidrosis +/- enophthalmos
Lid cracked open
A 3 year-old boy is brought to the emergency department by his father after coming second best in a head versus chair collision. Eyelid laceration
Bashed, Blind and Bulging
A 35 year-old martial artist presents with loss of vision in his right eye after being on the wrong end of a spinning back fist. Can you save his eyesight?
Another Poke in the Eye
A man was poked in the eye and now has a sharp pain on the surface of his eye and is photophobic. Can you diagnose and treat his condition?
Blunt Trauma to the Eye
Your Emergency Department Director decided that a team-building exercise at the local boxing gym would be a good idea. You are left to hold the fort at work. Blunt ocular trauma
Half an 8 ball
A 26 year-old man sustained an injury of uncertain mechanism to his left eye while at the bottom of a ruck during a game of rugby. Can you sort it out for him?
Bump and blur
A 71 year-old man tripped at home and bumped his forehead on the wall as he went to ground. His only complaint is markedly blurred vision in his right eye. How are you going to manage this case in the emergency department?
Out of Sight
As we're coming to the end of an absolutely eyeful Ophthalmology August here at LitFL it's time to bring together all the different ways the 'lights can go out'. Are you ready for the visual loss challenge?
A Woman of Singular Vision
56 year-old female presents with sudden onset loss of vision in her right eye. PMH hypertension, hyperlipidema. Central retinal vein occlusion, CRVO
A Man of Singular Vision
A 52 year-old man presents with sudden onset loss of vision in his right eye. PMH is notable for hypertension, hyperlipidemia and angina.
More Befuddling Pupillary Asymmetry
A man presents with a persistent cough... but you notice something wrong with his eyes. Horner syndrome, ptosis, miosis with differentials