28-year-old Construction in Surgery — Case | Ophthalmology | SMLE Q#11961
SMLE Question #11961
Surgery
Ophthalmology
Objective: OBJ-1737
Last updated: February 2026
A 28-year-old construction worker presents immediately after a high-speed metallic fragment struck his right eye while hammering metal without protective goggles. He has sudden severe eye pain and marked blurred vision. Examination shows the eye held partially closed. Slit-lamp examination shows a teardrop-shaped pupil directed toward a small corneal wound and blood in the anterior chamber. What is the most likely diagnosis?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.