Case Studies in Ophthalmology
Cases for the Ophthalmology Clerkship
Note to Medical Students on the Ophthalmology Rotation at the University of Iowa:
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Case #27 Hyphema
History
A four year old male is struck in the left eye with a toy thrown by a playmate. The injured child is taken to an Emergency Room one day later becuse of irritation and abnormal color of the left eye. You examine him and observe blood in the anterior chamber.
Photo #1
Photo #2
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Question #1
What information might be useful from the history?
Question #2
Name at least three ocular complications associated with this condition?
Question #3
What are some of the generally accepted treatment guidelines?
Question #4
What is the prognosis for vision?
Question #5
Discuss some of the more controversial forms of treatment.
Question #6
What disorders should you consider if this condition occurred spontaneously?
References
Read JE, Crouch ER Jr: Trauma: Ruptures and bleeding. In Clinical Ophthalmology, Duane TA, Jaeger EA (eds), Vol 4
Simon JW: Trauma to the globe and adnexa. In Pediatric Ophthalmology, Harley RD (ed), Vol 2, Chpt 29, pp 1204-1207.