Patients with skull fractures can present with petechial haemorrhage in the eyes, at which point they should be seen promptly in neurosurgery, first to determine whether the skull base fracture has caused serious injury elsewhere and whether it has rendered the patient’s vital signs unstable, and to treat it aggressively. Petechial haemorrhage in the eyes at this point can be seen by an ophthalmologist at the hospital to clarify the patient’s condition while further treatment is undertaken.