Abstract
An 11-year-old male presented with 2 months of intermittent headache, left eye pain, and diplopia following a high-speed motor-vehicle collision (MVC) 2 months prior. During his initial evaluation for his MVC, no orbital or ocular trauma had been noted. He had been evaluated previously by his pediatrician, who was concerned for retinal detachment and recommended ophthalmology follow-up. He came to the emergency department due to continued and worsening symptoms. Physical examination showed mild proptosis, ptosis, as well as dilated and tortuous episcleral veins most prominent laterally (Figure 1).
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