The New England Journal of Medicine (NEJM) is among the most prestigious and longest-running peer-reviewed medical journals in the world, but it also has a penchant for sharing truly gruesome cases on social media.

In a recent quiz, the NEJM shared an image of a 48-year-old patient whose eye was lashed by a bungee cord while they were trying to secure items to their motorcycle.

Following a week of eye pain, double and blurred vision, the patient underwent a slit-lamp examination in hospital which revealed the ocular trauma they had endured. Those of sensitive disposition may want to look away now.

New Image Challenge: What is the abnormality depicted here? Read the case details and submit your answer: https://t.co/KfTyrPPL8epic.twitter.com/xvI6PJ8hOu — NEJM (@NEJM) April 3, 2019

The patient experienced what is known as ‘iridodialysis’, or separation of the iris.

Blunt force trauma, while playing sports or after an airbag deployment in a car crash, are among the most common causes of iridodialysis. In mild cases, iridodialysis is managed with bed rest, but more extreme cases can require surgery.

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It is unknown what became of the patient pictured but at least they provided some nightmare fuel for unwitting Twitter users who follow the NEJM account, known to share some of the grisliest cases modern medicine has to offer.

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