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Surgery Miscellaneous 5aee74ad

Following injury to the right temple region, patient complaints of pain in the right eye and loss of vision. On examination the eye movements are normal, and pupil normally reacts to light. The diagnosis is

A
Functional loss of vision
B
Optic nerve atrophy
C
Traumatic glaucoma
D
Sub-arachnoid haemorrhage
High-Yield Explanation
(C) Traumatic glaucoma# Traumatic Glaucoma: Atraumatic separation to the iris root and citiary body. Is not an uncommon cause of trauma by blunt object or by penetrating injury to globe.> Symptoms: Pain, blurred vision, history of blunt and penetrating injury.> Sings: Hyphaema, an irregular pupil in acute phase, slightly reduced IOP due to Iris/increased aquous.> Transient elevated IOP due to hyphema or anteriorly dislocated lens.> Signs in Chronic Phase: Chronic pressure elevation due to obstruction of aquous outflow system Optic disc cupping Visual field loss.

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