Iridodialysis and Hyphema after Blunt Ocular Trauma (Colour Photopraphy Anterior Segment)
Iridodialysis and Hyphema after Blunt Ocular Trauma (Colour Photopraphy Anterior Segment)
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.
Tourtas, Theofilos, Dr.med., Augenklinik, Universitätsklinikum Erlangen, Erlangen, Deutschland, Erlangen, Deutschland; Michelson, Georg, Prof. Dr. med., Interdisziplinäres Zentrum für augenheilkundliche Präventivmedizin und Imaging, Augenklinik, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Deutschland