The Ophthalmology Department,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.



Case 31

by Professor Chua Chung Nen


A 35 year-old woman was referred by the casualty doctor three days after a road traffic accident because of complaint of ocular discomfort (Figure 1 and Figure 2). She was previously fit and well and had no medical history of note.

Figure 1. Side view of the patient

Figure 2. Eyelid closure.


 a. What is the most likely cause for her ocular discomfort?


b. How would you manage this patient?