New Floaters After Minor Eye Trauma: Ocular POCUS When Fundoscopy Is Limited
Case Presentation
A 46-year-old man presents to the emergency department after being struck in the right eye by his toddler’s elbow the previous evening. He reports blurred vision and new floaters in the right eye. He denies eye pain, flashes of light, or a curtain descending over his vision.
He has no history of diabetes, hypertension, or prior eye disease, and takes no anticoagulant or antiplatelet medication. The left eye is unaffected.
On examination, visual acuity in the right eye is 20/30. Pupils are equal and reactive with no afferent pupillary defect. Intraocular pressure is normal and there is no hyphema. Fundoscopic examination is limited by poor posterior visualization.
A point-of-care ocular ultrasound of the right eye is performed.
What do you see, and what’s the diagnosis?
Clip 1: Ocular ultrasound of the right eye with dynamic eye movement.
