Ocular anterior segment and lens tear

Case contributed by Shervin Sharifkashani
Diagnosis certain

Presentation

Collision of an object with the left eye and sudden blurred vision.

Patient Data

Age: 50 years
Gender: Male

There is left eye cornea, anterior chamber, and lens tear with preseptal and conjunctiva soft tissue swelling. No gross dense foreign body can be seen. Note the increased density within the collapsed anterior chamber that is due to hemorrhage.

Case Discussion

Sudden blurred vision or vision loss succeeding the eye trauma usually indicates significant eye injury and/or penetrating the foreign body, the probability of metallic foreign body contraindicates the MRI and MDCT of the orbit is the imaging modality of choice and indicated afterward.

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