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Variant of Giant Fornix Syndrome Masquerading as Intraocular Free Air on Computed Tomography

      An 83-year-old woman was transported by medical helicopter to a Level I Emergency Department (ED) after sustaining a fall and being found lying on her porch. The patient's chief complaint was of left hip pain and she denied any loss of consciousness. On initial examination the patient was noted to have a left lower extremity deformity. Plain films of the pelvis were ordered and revealed a left hip fracture. Due to the uncertain history of the patient's injury, a non-contrast axial computed tomography (CT) scan of the head and cervical spine was ordered. On review of the scan, the radiologist noted intraocular free air bilaterally without evidence of globe injury (Figure 1A–C). An emergent Ophthalmology consult was ordered for further evaluation.
      Figure thumbnail gr1
      Figure 1(A–C) Consecutive axial computed tomography images that appear to show intraocular free air in the anterior chamber bilaterally (white arrows).
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      References

        • Rose G.E.
        The giant fornix syndrome. An unrecognized cause of chronic, relapsing, grossly purulent conjunctivitis.
        Ophthalmology. 2004; 111: 1539-1545
        • Kubal W.S.
        Imaging of orbital trauma.
        Radiographics. 2008; 23: 1729-1739
        • Lane J.L.
        • Watson R.E.
        • Witte R.J.
        • McCannel C.A.
        Retinal detachment: imaging of surgical treatments and complications.
        Radiographics. 2003; 23: 983-994
        • Adesanya O.O.
        • Dawkins D.M.
        Intraorbital wooden foreign body (IOFB): mimicking air on CT.
        Emerg Radiol. 2007; 14: 45-49