A 22-year-old male presented to the clinic 2 days after a single vehicle motor vehicle accident who complained of decreased vision in the right eye (OD). Patient History: The patient fell asleep while driving his truck and had no recollection of the crash. He was not wearing a seat belt. His truck had apparently rolled several times. His airbag reportedly had deployed. He was taken to the local emergency treatment center (ETC).
There he was noted to have several back contusions, a laceration on the left elbow, and a bruise on his forehead. Computerized tomography (CT) of the head was negative for fracture or intracranial bleed. Approximately 1 hour after leaving the ETC, he noticed vision loss OD. Ocular History: No previous ocular disease history. No eye surgery, no previous eye nor head trauma. Ocular Examination: Visual Acuity: OD-between hand motions (HM) only and counting fingers…