Interactive Quiz: Ocular Trauma From a Vacuum Hose

Welcome to Consultant360's latest interactive diagnostic quiz. Over the next few pages, we'll present a case and ask you to make the diagnosis and treat the patient. Along the way, we'll provide details about the case, and at the end, we'll share the patient's outcome.

Ready to get started?

First, let’s meet the patient.

A 33-year-old man who was severely autistic and agitated presented for evaluation of right eye trauma that had been induced by the suction of a vacuum cleaner hose 1 day prior. A history of bilateral glaucoma with medical nonadherence and right eye cataract surgery was obtained from the family, who stated that “he is probably already blind in that eye.”

Conscious sedation was required for an ocular examination, which revealed periorbital ecchymosis, a 4-mm irregular fixed pupil, a cloudy cornea, and a circumferential subconjunctival hemorrhage with prolapse.

Ready to make a diagnosis?