Penetrating Ocular Trauma 2, CT
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0276-Penetrating Ocular Trauma 2, CT
CA0276-Penetrating Ocular Trauma 2, CT
Case ReportHistory
Exam
Findings
Preseptal Soft tissues and Orbital Adnexa
There is minimal preseptal soft tissue swelling but there is no abnormal air collection present. There is no foreign body or obvious tract in the soft tissues. However, there is “geometrically shaped” object in the vitreous body, suggestive of a penetrating injury or unusual manifestation of vitreous bleeding.
Eyes and Optic nerves
The eye is possibly minimally decompressed. The anterior chamber is reduced in size likely due to anterior chamber penetrating injury. The lens position is relatively anterior on the left likely due to anterior chamber volume loss. These findings suggest a possible point of entry at the suspensory ligament of the lens laterally
There is evidence of a focal subchoroidal or subretinal bleed inferiorly and laterally.
The junctions of the optic sheath/nerve and eye are normal. There is no evidence of hemorrhage in or along the optic nerve and/or sheath.
Orbits
There is no abnormal air collection in the postseptal extraconal or intraconal orbital compartments even though there appears to have been a penetrating injury. The extraocular muscles, orbital apex and superior orbital fissure are normal. The bones of the orbit including the optic canal are normal.
Brain
There are no intra-axial or extra-axial abnormalities of the brain that might be related to the eye/orbital pathology.