Flat tyre sign (globe rupture)

Last revised by Mostafa Elfeky on 19 Feb 2024

The flat tyre sign, also known as the mushroom sign, is one of the most specific signs of ruptured eye globe, due to the similarity between the abnormal contour of injured globe and the appearance of a flat tyre 1. It is classically described on CT but may be seen on ultrasound or MRI 2.

The most specific CT signs for globe injuries are abnormal globe contour and vitreous hemorrhage 1,3. Intra-ocular air and presence of foreign bodies are good predictors for globe injuries if associated with other features in patients with ocular trauma 1,2.

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