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JAMA Ophthalmology Clinical Challenge
October 2017

Fluid Leak Following Deep Midfacial Laceration

Author Affiliations
  • 1University of Toronto, Department of Ophthalmology and Vision Sciences, Toronto, Ontario, Canada
  • 2Sunnybrook Health Sciences Center, Toronto, Ontario, Canada
  • 3Mount Sinai Hospital, Toronto, Ontario, Canada
JAMA Ophthalmol. 2017;135(10):1115-1116. doi:10.1001/jamaophthalmol.2017.1413

A 55-year-old man presented to the emergency department following an unwitnessed assault, sustaining multiple facial contusions and lacerations. He was initially agitated and admitted to the intensive care unit with hemodynamic instability. The oral-maxillofacial surgery service was consulted for assessment of the facial lacerations, and the oculoplastic service was consulted for possible damage to the nasolacrimal system. The patient’s medical history at this point was unknown.

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