A 41-year-old man arrives as triage level 2 after being punched in the eye. Visual acuity is decreased, intraocular pressure is 48 mm Hg, proptosis

Question

A 41-year-old man arrives as triage level 2 after being punched in the eye. Visual acuity is decreased, intraocular pressure is 48 mm Hg, proptosis is present, and he has an afferent pupillary defect. Which of the following is the most important immediate intervention?

Accepted Answer

Lateral canthotomy and inferior cantholysis

Answer

Topical antibiotic ointment and discharge

Answer

Eye patching and oral analgesia

Answer

Urgent outpatient ophthalmology in 24 hours

Answer

CT orbit before treatment

Retrobulbar hematoma — ABEM Board MCQ

A 41-year-old man arrives as triage level 2 after being punched in the eye. Visual acuity is decreased, intraocular pressure is 48 mm Hg, proptosis is present, and he has an afferent pupillary defect. Which of the following is the most important immediate intervention?