WIDI - CA0276-Penetrating Ocular Trauma 2, CT

Penetrating Ocular Trauma 2, CT

Claim CME Credit

0.5 CME Credit available on completion

POINT 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

History

26-year-old patient in the emergency room suffering eye trauma with possible penetrating injury and related foreign body.

Exam

Non-contrast CT of the maxillofacial region was obtained with 0.5-1.0 mm thick sections in the axial plane, reformatted in the coronal and sagittal planes and viewed interactively in 3 dimensions at the computer workstation.

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.