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Reprint Address: Craig N. Czyz, do, facos, Division of Ophthalmology, Section Oculofacial Plastic and Reconstructive Surgery, Ohio University/Doctor's Hospital, 1100 Oregon Ave., Columbus, OH 43201
Affiliations
Division of Ophthalmology, Section Oculofacial Plastic and Reconstructive Surgery, Ohio University/Doctor's Hospital, Columbus, OhioDepartment of Ophthalmology, Oral and Maxillofacial Surgery, Grant Medical Center, Columbus, Ohio
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 1(A–C) Consecutive axial computed tomography images that appear to show intraocular
free air in the anterior chamber bilaterally (white arrows).
