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)
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