A 28-year-old male presents to the emergency department after being hit in the left eye with a tennis ball. He complains of severe pain and blurred vision. On examination, you observe a pool of blood in the anterior chamber of the eye. What is the most likely diagnosis?
Globe rupture
Corneal abrasion
Hyphema
Retinal detachment
The correct diagnosis is hyphema. Hyphema is the presence of blood in the anterior chamber of the eye, which is the space between the cornea and the iris. It is typically caused by blunt trauma to the eye, such as being hit with a ball. The pooling of blood in the anterior chamber is a characteristic sign of hyphema.
It's important to differentiate hyphema from other ocular traumas:
Prompt diagnosis and management of hyphema is crucial to prevent complications such as increased intraocular pressure, corneal blood staining, and optic atrophy. Treatment typically involves rest, elevation of the head, and possibly eye drops to control inflammation and intraocular pressure.
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