A Case of Retrobulbar Hematoma

The patient is a female in her 60s who presents by EMS after a fall in a parking lot approximately one hour prior to arrival.  She fell forward and landed on her face.  She believes she simply tripped and fell, but she did lose consciousness and does not know how she ended up on the ground.  Per family, she is unsteady on her feet and falls frequently, requiring a cane at baseline.  She reports feeling “weak” but no other symptoms preceding her fall.  She presents with significant right-sided facial trauma and is unable to open her right eye. She has no complaints of blurry vision in her left eye.  She has no headache or other areas of pain or trauma.