CT brain and orbits
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Large volume acute left intraocular haematoma which extends through a defect within the left globe at its anterior margin just to the right of the midline. Preseptal gas as well as a locule of gas near the insertion of the superior rectus are noted. No retrobulbar haematoma or collection.
Old right frontal and right inferior cerebellar hemisphere infarcts.
The patient went on to have surgery which confirmed the rupture.
MICROSCOPIC DESCRIPTION: The material consists almost entirely of blood clot with some platelet layering and with some superficial retinal layers towards one side. There is no evidence of malignancy. Iron staining is negative and there is no tissue organisation indicating recent haemorrhage.
FINAL DIAGNOSIS: Intra-ocular contents: Benign blood clot and some detached retinal tissue.