The patient is a 2-year-old girl who presents to the ED after falling from bed at 4:30 a.m. and landing on a glass nightstand which shattered on impact. At the night, no bruises or bleeding was observed. The next morning mom noticed her rubbing the R eye several times, and she kept it closed by squinting all the time. History of patient illness No history of ocular surgery, trauma, amblyopia, strabismus. No smoking in the house. No recent illnesses. Ocular exam Visual acuity OD: Open eye to command but keeps eye closed most of the time.
Central, unmaintained. OS: Central, steady and maintained Pupils : Irregular, peaked OD; Round OS. No APD. Extraocular Movements : Full OU. No nystagmus. External : Normal-appearing orbital structures, both sides. Slit Lamp: Lids and Lashes: Normal OU Conjunctiva/Sclera: Trace diffuse hyperemia OD; normal OS Cornea: 3mm corneal laceration at 8 o’ clock…
