Point-of-Care Ultrasound Diagnosis of Retrobulbar Hematoma: A Sight-Threatening Emergency

A 93-year-old female with a past medical history of dementia and hypertension, not taking anticoagulation treatment, presented to the emergency department with a chief complaint of head injury after falling down a flight of stairs. On arrival, she was hemodynamically stable with an intact primary survey. On secondary examination, the patient had left frontal ecchymoses, a minimally reactive left pupil, and difficulty with left extra ocular movements. The patient denied any vision changes or ocular pain.

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Publication Details

Journal
Journal of the American College of Emergency Physicians Open
Published
2026-10-19
DOI
https://doi.org/10.1016/j.acepjo.2026.100527
Primary Topic
Ultrasound in Clinical Applications
Type
article
Field-Weighted Citation Impact
0.00
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article

Point-of-Care Ultrasound Diagnosis of Retrobulbar Hematoma: A Sight-Threatening Emergency

Prateek Khurana, Allison Cohen, Vivian Papas
Journal of the American College of Emergency Physicians Open
Ultrasound in Clinical Applications
article

Point-of-Care Ultrasound Diagnosis of Retrobulbar Hematoma: A Sight-Threatening Emergency

Prateek Khurana, Allison Cohen, Vivian Papas
article en

Abstract

A 93-year-old female with a past medical history of dementia and hypertension, not taking anticoagulation treatment, presented to the emergency department with a chief complaint of head injury after falling down a flight of stairs. On arrival, she was hemodynamically stable with an intact primary survey. On secondary examination, the patient had left frontal ecchymoses, a minimally reactive left pupil, and difficulty with left extra ocular movements. The patient denied any vision changes or ocular pain.

Journal of the American College of Emergency Physicians OpenVol. 7(6)
Northwell Health (US)
Openalex Percentile: Top 11%
Ultrasound in Clinical Applications
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Point-of-Care Ultrasound Diagnosis of Retrobulbar Hematoma: A Sight-Threatening Emergency — Prateek Khurana, Allison Cohen, et al. · Journal of the American College of Emergency Physicians Open (2026) | TGRS Research Map | TGRS