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An 18 year old baseball player was hit in the eye with a baseball last evening. He went to the ER for evaluation and was cleared and told to follow up with his primary care provider in 1-2 days. He came in today to see you and complaints of visual changes and a dark visible fluid line at the bottom of his cornea. What is your most appropriate action?

User Nilsocket
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An urgent ophthalmologist referral is necessary for an 18-year-old baseball player displaying visual changes and a dark fluid line in his eye post-injury. Symptoms may indicate hyphema, which can lead to complications if not promptly addressed.

The most appropriate action when an 18-year-old baseball player presents with visual changes and a dark fluid line at the bottom of his cornea a day after being hit in the eye is to urgently refer him to an ophthalmologist. These symptoms suggest the possibility of hyphema, which is the presence of blood in the anterior chamber of the eye and can lead to elevated intraocular pressure and potential damage to the optic nerve.

A prompt evaluation is necessary to assess the extent of the injury, rule out other complications such as a retinal tear, and determine the appropriate treatment to prevent further vision loss or permanent damage.

In conclusion, considering the symptoms and potential for severe eye injury, immediate referral to an eye specialist is the most responsible course of action to ensure the best outcome for the patient.

User Lacco
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