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A case of fat embolism is described, emphasizing the mild and possibly transient confusion that precedes the onset of coma. Marked hypoxia was present, however, at this stage of mild confusion. The retinal changes are illustrated and their importance stressed not only as a diagnostic aid but also as an explanation for visual symptoms following an injury. The differentiation from other causes of retinal haemorrhages and exudates following trauma is briefly discussed.
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© 1971 Published by Elsevier Inc.