I've read three books and one research article about subconjunctival hemorrhage no luck. Help!

[gabloammar]

A 10 year old male child presented with pain and loss of vision in the right eye after getting blunt trauma with a cricket ball a few minutes ago. There is subconjunctival hemorrhage in the temporal quadrant, the visual acuity is hand movements, and the pupil is not visible in the right eye.

a. What is your most probable diagnosis? b. What is the most important parameter that you should watch very closely and keep it controlled? c. If the above parameter is not kept controlled, what two serious complications can arise?

If someone could even point me in the right direction I'd be grateful, because I'm completely stumped here.

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[hurdlepup]

Send the child to an ophthalmologist


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[ophthohopeful17]

a. traumatic hyphema
b. IOP
c. in terms of the two serious complications, i'd say glaucoma for sure, but i'm not sure what the other one they're thinking is.
check out this web page: http://eyewiki.aao.org/Hyphema

 

[DrZeke]

A 10 year old male child presented with pain and loss of vision in the right eye after getting blunt trauma with a cricket ball a few minutes ago. There is subconjunctival hemorrhage in the temporal quadrant, the visual acuity is hand movements, and the pupil is not visible in the right eye.

a. What is your most probable diagnosis? b. What is the most important parameter that you should watch very closely and keep it controlled? c. If the above parameter is not kept controlled, what two serious complications can arise?

If someone could even point me in the right direction I'd be grateful, because I'm completely stumped here.

"The pupil is not visible"

Subconjunctival hemorrhage is beneath the conjunctiva. And is for the most part a fairly benign finding it itself. Hemorrhagic chemosis could be a problem however. Like hurdle pup said. Send child to ophthalmologist.


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[gabloammar]

Ah I'd like to point out that this isn't me asking for a consultation; this is a past exam question, and I haven't been able to find an answer.

Thank you for the help though, I'll try these!

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[DrZeke]

.

Ah Forget it

 

[MstaKing10]

Has this child been evaluated by an ophthalmologist?

a. traumatic hyphema
b. IOP
c. in terms of the two serious complications, i'd say glaucoma for sure, but i'm not sure what the other one they're thinking is.
check out this web page: http://eyewiki.aao.org/Hyphema

probably corneal blood staining

 

[gabloammar]

a. traumatic hyphema
b. IOP
c. in terms of the two serious complications, i'd say glaucoma for sure, but i'm not sure what the other one they're thinking is.
check out this web page: http://eyewiki.aao.org/Hyphema

Thank you. Your first two answers ended up being correct, but the third one, I got told that it was wrong. Because glaucoma, if it happened, would be a late stage complication. So I had to let go of glaucoma.

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Edit: I think I ought to have said that if the most important thing to monitor here was the IOP, then that would mean we're making sure there's no acute episodes of glaucoma occurring, yes?

 

[ophtho838]

A 10 year old male child presented with pain and loss of vision in the right eye after getting blunt trauma with a cricket ball a few minutes ago. There is subconjunctival hemorrhage in the temporal quadrant, the visual acuity is hand movements, and the pupil is not visible in the right eye.

a. What is your most probable diagnosis? b. What is the most important parameter that you should watch very closely and keep it controlled? c. If the above parameter is not kept controlled, what two serious complications can arise?

If someone could even point me in the right direction I'd be grateful, because I'm completely stumped here.

re: thread title. Where did you find 3 whole books on subconjunctival hemorrhage??