International Journal of Contemporary Research in Multidisciplinary

Abstract:

Introduction: Hyphema refers to an accumulation of blood in the anterior chamber of the eye. Diagnosis of hyphema is often confirmed by a slit lamp examination and grading of hyphema is crucial in guiding management and determining prognosis. The goal of this study is to give a case report of secondary glaucoma caused by traumatic hyphema

Material and methods: A case report of 37-year-old male, with traumatic hyphema-induced secondary glaucoma.

Result: By Day +10, visual acuity significantly improved, corneal conditions normalized, and intraocular pressure returned to normal after received medical treatment, including eye drops and medications.

Discussion: Hyphema is identified with history taking and a series of physical examination, this patient was diagnosed with secondary glaucoma caused by grade II hyphema and was prescribed with timolol 0.5% eye drops, combination of Polymyxin B and dexamethasone eye drops, atropine sulphate 1% eye drops, tranexamic acid injection, acetazolamide tablet, potassium chloride, and was recommended to do head elevated position. The patient’s vital signs were stable, the complaints had disappeared, and the blood in the anterior chamber had been fully resorbed and was discharged seven days later.

Conclusion: This case report describes a case of traumatic hyphema due to sports injury and was diagnosed with secondary glaucoma after blunt ocular trauma from the signs and symptoms felt by the patient and a series of physical examinations. We provide the appropriate therapies following the guidelines, and the outcomes are favorable.

Keywords:

Glaucoma, Hyphema, Trauma

Aim/Objectives

Methods