Grand Rounds Web SIte - Case 55
 

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Grand Rounds Case #55 - Air Bag Eye Injury

                       Day 1                                          Day 7

Case History:
This is a hypothetical case. Airbag deployment. A 57 year old male rear ended another car at 37mph. In the ensuing impact, the patient's airbag deployed. He noticed pain, photophobia and poor vision in this eye after 1 day which did not change on presentation on the 5th day.

1 week later this eye still has an IOP of 49 and grade 4 flare and grade 1 cells. Meds:
Atropine, CoSopt, Alphagan P, Xalatan, PF1%. Vision is still HM at 3ft To view the eye at Day 1 click

Questions:
What has happened to the iris in Day 1? Why did the intraocular pressue increase so dramatically?
 

Click here for Dr. Hom's Response

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