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Hi. I'm Dr. Rick and I have two decades of ophthalmology experience. I'm online and happy to answer your question today.
How old is his daughter?
How hard was he hit?
can you upload a picture of his eye?
Does he have have any medical problems or take any medication?
his daughter is 20 months old and he turned around when she called him and saw the pole/bar come right at him
i am currently not with him so i cannot upload his eye picture
Tell me more about this pole/bar. What is it made of? About how big around on the end? Flat/pointed/dirty etc?
he does not have any medical condition but he does have little high blood pressure which is somewhat controlled by waterpill
the pole is thin metal piece which comes from baby crib
ok...Well, we can work around not having a picture...
how thin? 1/4 inch??
end is flat and it is about 1.5 cm width
and it is about 3 feet long
So. Just so I understand. He lost all vision (lights out blind) for about 5 minutes. Now he can see, but not good.
Can he see the TV? Recognize faces? Read a page in a book etc?
he said that his eye blacked out for about 5 minutes and now vision came back but blurry
Ok. He needs to pack up and go to the ER>
Hopefully they will have an ophthalmologist on call who can come in and examine his eyre.
Does this make sense to you?
It sounds like he has, at the very least, a hyphema......bleeding inside the eyeball.
He needs a complete eye exam, the sooner the better.
i just talked to him and he stated that it is still blurry but little better
and there is a little redness in eye and not swollen
And this is beyond the ability of an optometrist. He needs an ophthalmologist (eye MD)
He needs to not try to take care of this at home. It may be very, very serious.
he also had his contact lens on and he sees a little black spot
He may have a retinal detachment. Untreated this causes total blindness in every case.
Although, I do not think it is that severe...I only say that -- should he choose to not seek care right now -- he is gambling with his vision in that eye.
what happens whenhe has a retinal detachment
Well, as a retina surgeon, I fix it :)
sorry i mean what is retinal detachment?
It is when the photographic film in the back of your eye (the retina) rips off, away from its blood supply. No retina. No vision.
oh. but his vision has came back a little...
Your brother probably does not have a retinal detachment, but without a complete eye exam, you can not be sure....
he said it is hard to tell exactly since he has ice on his eye
Ya....it has. I would not wait until morning.
the only thing about going to emergency room is that they make you wait.
After two decades of being a retina surgeon I am saying that your brother is foolish if he does not go to the ER now. You asked for my advice.......
Bring a set of headphones and an I Pod
in my personal experience, i have been to emergency room for some reason before and was there for 8 hours until a doctor saw me
Ok. Well, stay home.
But that, in my professional opinion as a Board Certified Ophthalmologist, is the wrong thing to do if he wants the best chance of minimizing damage to his eye and loss of vision.
Is there anything else I can do for you tonight?
no that is all
Please give my best to your brother.
I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. You may also receive an email survey after our chat, if you don’t feel that I have earned a “10” rating in all areas, please let me know what I can do to meet your expectations. Thanks in advance, Dr. Rick MD FACS