The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Traumatic hyphaema with angle recession

Photo by Dr. Thomas Law

This 28 year-old man was assaulted and developed a right blurred vision. Slit-lamp examination revealed traumatic hyphaema but otherwise normal intraocular pressure. Gonioscopy showed angle recession in the area of hyphaema. He was given homatropine and topical steroid to prevent secondary hyphaema. Secondary hyphaema often causes raised intraocular pressure which is difficult to control.

 

Right traumatic hyphaema.

 

Gonioscopy showing normal angle on the temporal side and angle recession on the nasal side

of the hyphaema.

 

Another gonioscopic view showing normal angle on the temporal side and angle recession on

 the nasal side of the hyphaema.

 

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