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Case 4 – 2025
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Case 4 – Angle Recession Glaucoma
1 Examination
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Question 1: What are the important questions to ask when a patient presents after experiencing trauma to the eye?
Question 2: What is a hyphaema?
Question 3: What are some of the injuries to look for in the posterior chamber after blunt trauma to the eye?
Question 4: In this case there is no view of the fundus due to the hyphaema. What is another way to examine the posterior segment?
Question 5: What is the cause of hyphaema in this case?
Question 6: What are the possible causes of the raised IOP in this case:
Question 7: What is the appropriate management for this patient:
Question 8: This patient had close follow-up for two weeks. Explain why this needs to be the case.
Question 9: Why was he booked to be seen 6 weeks after his initial injury?
Question 10: Describe the optic disc photos:
Question 11: Describe the OCT and visual field findings.
Question 12: What other investigation would you like to perform?
Question 13: What is your diagnosis?
Question 14: Describe the pathophysiology of angle recession glaucoma.
Question 15: What are other secondary causes of glaucoma that can result from trauma?
Question 16: What are the established independent risk factors for the development of glaucoma after blunt ocular trauma?
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