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Case:
A 49-year-old man sustained a fall 24 hours before initial
examination, hitting the left side of his face on the edge
of a dresser, in a poorly illuminated room. He had been diagnosed
with “orbital fractures”, multiple opacified sinuses,
and a retro-orbital hemorrhage. |
| Initial
Examination: Although visual acuity was not recorded
during the initial examination at the nonaffiliated facility,
the patient was found to have tense left lid edema, proptosis,
and an intraocular pressure greater than 50 mm Hg OS. The
examination of the right eye was unremarkable, and the intraocular
pressure was 15 mm Hg OD. A left lateral canthotomy was performed,
and the patient was given intravenous mannitol, oral Diamox,
and topical timolol 0.5%. The patient’s intraocular pressure
did not change. Therefore, the patient was transferred to
University Hospital’s emergency department for further
treatment. |
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