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
Ruptured Globe
This patient sustained blunt trauma to the eye from a fireworks injury. CT scan performed prior to POCUS showed intra-orbital hematoma and complete absence of any globe tissue. The patient was taken to the OR for primary enucleation, washout, and closure.