Ophtho On Call Case 10: Introduction

History of Present Illness (HPI)

A 32-year-old man with a past medical history of type 1 diabetes and hyperlipidemia presents to the emergency department due to recent trauma to his face. He reports that while playing baseball at the park, a baseball struck him in the area encompassing his left maxilla and orbit. This is the first time he has experienced trauma to his facial region. He denies history of facial or ocular surgery and endorses severe pain and swelling on the left side of his face. He endorses intermittent double vision, mostly when looking up. On review of systems he denies nausea or vomitting.

What’s at the top of your differential diagnosis? Choose at least 3 before moving on!
Retroorbital hemorrhage
Corneal Abrasion
Globe rupture
Retinal detachment
Traumatic hyphema
Traumatic iritis
Orbital fracture

Click here for the physical exam!