Author: Zachary Barry, MD, Indiana University School of Medicine, Glick Eye Institute
A 35-year-old white female with no significant past ocular or medical history presented to the emergency department after getting hit in the right eye by a child’s toy. She experienced immediate pain and decreased vision in the eye but denied flashes, floaters, or other visual symptoms.
Visual acuity at the initial presentation was 20/200 (6/60) right eye and 20/20 (6/6) left eye. Intraocular pressures were 22mmHg right and 14mmHg left. A 50% layered hyphema was present in the right eye. The posterior segment could not be visualized but a B-scan ultrasound showed clear vitreous, no retinal detachment, and no intraocular foreign body.
Good revision and need to do more of the reading and taking up most of the courses on CyberSight.
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The role cyclopentolate is controversial !
Thanks for sharing and the quiz… Keep on doing it please
Thanks for increasing knowledge
Great, practical
Very informative and nicely presented.
It’s very informative it’s requested to please mention the brand name with formulation especially of Multi National pharma like Alcon available every part of the world.
Topical steroids to reduce inflammation and cycloplegic drops aids in photophobia and stabilize traumatize iris blood vessels.
Good
I think steroid usage in this case is a right answer
Antifibrinolytics are not easily available, so prednisolone acetate is a good choice. Prednisolone phosphate base drops will not provide as good penetration as prednisolone acetate
Thank’s for sharing the information.
It is not recommended to give cycloplegic without excluding the iris sphincter injury. In the case of iris injury the cycloplegics are contraindicated because they may lead to widening and worsening of the sphincter injury
Your answer itself is contadictory, this is an uncomplicated hyphema , topical steroids, Diamox should be given . Role of cycloplegic is again controversial
Thanks for sharing this picture with quiz, informative also
Thanks for the information, it’s eye opening
Increase in fluid intake helps in absorption of hyphema.