Eye trauma: could you manage a retrobulbar haemorrhage?
Patients with head injuries sometimes present with a closed, swollen eye. We rightly worry about intracranial bleeding in these cases, but there are some important eye injuries to consider too. Dr Anna MacDonald suggests that the following four time-critical, sight-threatening diagnoses should be foremost in our minds when assessing a patient with blunt ocular trauma...
The first of these, retrobulbar haemorrhage (RBH), is a fairly rare condition and many of us will be unfamiliar with its features and recommended management. A recent paper in the EMJ tried to assess the competency of UK ED docs in treating RBH, and identified some issues...
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