Keeping An Eye On

Nervous System & Special Senses

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This healthy young boy has presented after a ricocheting pellet from a BB gun impacted with his left eye; highly concerningly, several signs of ocular injury can be observed on examination.\n\nFirst of all, the pellet has lacerated the cornea, through which the iris has prolapsed. This is accompanied by mild subconjunctival hemorrhage and edema (chemosis); while nonspecific, this finding is often associated with the presence of a foreign body.\n \nFurthermore, accumulation of blood in the anterior chamber, known as a hyphema, impedes visualization of the lens. Evaluation of visual acuity with a Snellen chart reveals the absence of light perception in the affected eye.\n \nAs there is high potential for an intraocular foreign body (IOFB), imaging "}]}

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