Authors: Adam L Brown, Karen Pinches / Editor: Jason M Kendall / Reviewer: Jon Bailey / Codes: OptP2, SLO4 / Published: 18/12/2021
A 31-year-old man presented to the emergency department (ED) after falling off a wall into a bush. He sustained head and facial injuries. He complained of a mild headache. There was no loss of consciousness, amnesia or neck pain.
On examination his Glasgow Coma Score was 15/15 and the remainder of his physiological observations were normal. He had a laceration to his right upper eyelid, with significant swelling of the lid making occular examination difficult. He had no evidence of base of skull fracture or of significant head injury. He had no focal limb neurology or extra-cranial injury.
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Question 1 of 3
1. Question
Which one of the following regarding initial management of this patient would be correct?
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Question 2 of 3
2. Question
This man had his right globe examined and was found to have markedly reduced visual acuity and lack of light perception with no obvious occular damage. Reduction in visual acuity to the extent of monocular blindness in this eye is most likely due to which one of the following?
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Question 3 of 3
3. Question
In view of the mechanism of injury, the laceration to his eyelid and his monocular visual loss, which one of the following would be the best modality for urgent imaging?
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