Trauma - Case 2

A 60 year old male tool & die maker, who often neglects to wear eye protection, was hammering a piece of hardened steel when he felt something hit his right eye.  He had no visual complaints, but his co-workers noticed that his eye was red, so he came to see you.

Examination revealed visual acuity of 20/20 OU, normal visual fields to confrontation, pupils equally round and reactive, and normal extraocular movements.   The cornea was stained with fluoroscein and no defect was seen.  The globe showed no evidence of a wound, but had the appearance below.  Dilated ophthalmoscopic exam was normal.

Case 2

What is your diagnosis?

Hyphema
Conjunctivitis
Subconjunctival hemorrhage
None of the above