Atlas of Ophthalmology

Iridodialysis, and Hyphema after Blunt Ocular Trauma (Colour Photopraphy Anterior Segment, Retroillumination)

Iris and Ciliary Body -> Trauma/Injury (see also: Anterior Chamber) -> Iridodialysis
Patient: 32 years of age, male, BCVA 0.4, IOP 6 mmHg. Ocular Medical History: ocular blunt trauma, no choroidal or retinal alterations, no choroidal detachment. General Medical History: empty. Main Complaint: acute vision loss. Purpose: to demonstrate a case with traumatic iridodialysis. Methods: colour photopraphy anterior segment, retroillumination. Findings: Colour photopraphy anterior segment: revealed 90 degree iridodialysis from 9-12h, hyphema, deep anterior chamber. Retroillumination: iridodialysis from 9-12h. Discussion: In a retrospective study (1) 118 patients with hyphema due to blunt injury were examined to determine the causes, associated ocular findings and visual acuity on presentation. Ulagantheran V et al. (1) found, that males were more predominantly affected (93%), two-thirds of patients (67%) were aged below 30 years, and sports related injury (38%) was the most common cause for hyphema. They reported that hyphema disappeared within 5 days in 66% of patients, and iris injuries were very commonly associated in the form of mydriasis, sphincter tear and iridodialysis. Moderate blood staining of cornea occurred in 0.8% of patients. Literature: (1) Ulagantheran V, Ahmad Fauzi MS, Reddy SC. Hyphema due to blunt injury: a review of 118 patients. Int J Ophthalmol. 2010;3(3):272-6.

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