A 28-year-old male presents to the emergency department after being struck in the left eye with a tennis ball. He complains of severe eye pain and blurred vision. Upon examination, you observe blood in the anterior chamber of the eye. What is the most likely diagnosis?
Corneal abrasion
Retinal detachment
Hyphema
Globe rupture
The correct diagnosis is hyphema. Hyphema is defined as the presence of blood in the anterior chamber of the eye, which is the space between the cornea and the iris. This condition is typically caused by blunt trauma to the eye, such as being struck by a ball. The blood in the anterior chamber is visible upon examination and can cause symptoms like pain and blurred vision.
It's important to differentiate hyphema from other ocular traumas:
Prompt recognition and appropriate management of hyphema is crucial to prevent complications such as increased intraocular pressure, corneal blood staining, and optic atrophy.
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