This patient was assaulted and had the above appearance. How would you manage this patient? Answer After taking a full history as this may be of medico-legal important. I will record the visual acuity and perform a full examination to exclude: globe rupture or perforation blow-out fracture raised intraocular pressure retinal tear or detachment. The treatment of hyphaema involve : immobilization of the iris with mydriatic such as cyclopentolate or atropine to avoid further bleeding. use of topical steroid to reduce inflammation. advice to the patient to avoid excessive activities such as heavy lifting or contact sport. Would you perform gonioscopy on this patient? Answer No in the acute stage as further bleeding may occur from gonioscopy. Gonioscopy should be delayed until the hyphaema settles. More questions
This patient was assaulted and had the above appearance.
How would you manage this patient?
The treatment of hyphaema involve : immobilization of the iris with mydriatic such as cyclopentolate or atropine to avoid further bleeding. use of topical steroid to reduce inflammation. advice to the patient to avoid excessive activities such as heavy lifting or contact sport.
Would you perform gonioscopy on this patient?
