Acute Vision Loss Due to Central Retinal Arterial Occlusion, Partial Optic Nerve Avulsion, and Hemorrhage “Spurting Out” from Optic Disc after Blunt Trauma

351 A seven‐year‐old male patient with sudden onset loss of vision in the left eye immediately after blunt trauma to the left eye following a fall from stairs presented to us three days after the trauma. History of epistaxis was present, although there was no history of loss of consciousness, vomiting, or convulsions. On examination, the left eye had a subconjunctival hemorrhage. Orbital emphysema was absent. The anterior segment examination and intraocular pressure of both eyes was normal. The patient had sustained a closed globe injury (CGI) with no full thickness defect in the cornea or sclera. Direct pupillary light reflex in the left eye and consensual reflex in the right eye were absent. Ocular movements were normal; there was no proptosis or enophthalmos on the left side. Vision was 6/6 in the right eye and no perception of light (NPL) in the left eye. Fundus of the right eye was normal. Fundus of the left eye showed whitening of the retina, segmentation of blood columns in the vessels with cherry red spot and blood “spurting out” from the Acute Vision Loss Due to Central Retinal Arterial Occlusion, Partial Optic Nerve Avulsion, and Hemorrhage “Spurting Out” from Optic Disc after Blunt Trauma