A 53-year-old man with chronic diabetes mellitus, hypertension, chronic kidney disease,coronary artery disease, and congestive heart failure fell out of bed. The next morning he was unresponsive; a computed tomographic scan disclosed a large right subdural hematoma with 3 cm of a right-to-left midline shift of the brain and uncal herniation. He had fixed and dilated pupils, a Glasgow Coma Scale score of 3, and no spontaneous respirations or evidence of brain stem function. The patient was declared brain-dead and died shortly after having the ventilator removed. There was no recorded ophthalmic history or eye examination.