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{
    "pk": 697,
    "title": "Munson’s Sign: An Obvious Finding to Explain Acute Vision Loss",
    "subtitle": null,
    "abstract": "Keratoconus is a progressive disorder affecting the cornea, which causes the cornea to become weakened and conical in appearance. The resultant decrease in structural integrity of the cornea predisposes affected individuals to acute corneal hydrops, a break in Descemet’s membrane, the deepest layer of the cornea, resulting in pain and acute vision loss. We present here a case of this little-known cause of acute vision loss, and an example of Munson’s sign, which is a v-shaped protrusion of the lower eyelid on downward gaze that is characteristic of advanced keratoconus. We hope to highlight Munson’s sign as a simple identifier of keratoconus in an otherwise undiagnosed individual suspected of having acute corneal hydrops.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/5bv7k846",
    "frozenauthors": [
        {
            "first_name": "Jake",
            "middle_name": "",
            "last_name": "Gold",
            "name_suffix": "",
            "institution": "Saint Louis University, Department of Emergency Medicine, St. Louis, Missouri",
            "department": "None"
        },
        {
            "first_name": "Vijai",
            "middle_name": "",
            "last_name": "Chauhan",
            "name_suffix": "",
            "institution": "Saint Louis University, Department of Emergency Medicine, St. Louis, Missouri",
            "department": "None"
        },
        {
            "first_name": "Siripong",
            "middle_name": "",
            "last_name": "Rojanasthien",
            "name_suffix": "",
            "institution": "Saint Louis University Eye Institute, Department of Ophthalmology, St. Louis, Missouri",
            "department": "None"
        },
        {
            "first_name": "Jennifer",
            "middle_name": "",
            "last_name": "Fitzgerald",
            "name_suffix": "",
            "institution": "Saint Louis University, Department of Emergency Medicine, St. Louis, Missouri",
            "department": "None"
        }
    ],
    "date_submitted": "2019-07-08T22:18:16Z",
    "date_accepted": "2019-07-08T22:18:16Z",
    "date_published": "2019-07-08T22:21:45Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/697/galley/455/download/"
        }
    ]
}