Orbital

A 50 year old male with a prior history of bilateral intraoccular lens (IOL) transplants presented to our ED with sudden onset foggy vision in his right eye while getting out of the shower. He was unable to participate in visual acuity due to the extent of his blurred. POCUS demonstrated “iridodonesis” and a provisional diagnosis of IOL subluxation/dislocation was made. Ophthalmology was consulted and confirmed the diagnosis.

Dr. Piaseczny, PGY4 Emergency Medicine, Queen's University, Kingston, Ontario, Canada

This patient presented with decreased vision on a background of advanced macular degeneration. VA in the eye had decreased from 20/150 to 20/400 on presentation.

Interestingly the patient stated "I think my ocular lens has displaced."

Contributed by: Colin Bell, FRCPC, DPSPC

93 year old male with established end stage eye disease found incidentally to have prominent Phthisis Bulbi made evident by a heterogeneous hyper-echoic structures (calcifications) within the posterior chamber of the left eye.

Contributed by: Davis, Lindsay; Schlangen, Alex; Welch, Matthew

Irregularly shaped eye with internal dense structure concerning for intraocular hematoma. This patient had a history of previous rupture of the globe.

A CT Head without IV contrast described the left eye as follows: Small left globe with high density concerning for intraocular hemorrhage. Direct examination is recommended.

Halimah Hamidu-Egiebor Central Michigan University College of Medicine MD-MBA '24, Arthur Sieron Central Michigan University Emergency Medicine Resident, Eric 'Dax' Spencer Central Michigan University Emergency Medicine Resident