A Man With Vision Loss

Abstract

A 58-year-old man with a history of bipolar disorder and alcohol use disorder presented to the emergency department with bilateral vision loss, worse on the right than left, after being assaulted. His right pupil was obscured by a cloudy opacity in the anterior chamber (Figure 1), accompanied by complete loss of vision. The left pupil was sluggish, was minimally reactive to direct light, and had only the ability to differentiate light and dark. Bedside ocular ultrasonography demonstrated a freely mobile oval hyperechogenicity in the left posterior chamber (Figure 2).