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- W2049376892 abstract "HISTORY An 18 year old male freshman basketball player at Ball State University sustained an injury to his left eye during basketball practice. He was struck in the eye by his teammate's thumb and felt immediate pain. As he walked to the bench he noticed that he was unable to focus and his eyes were sensitive to the bright lights of the arena. During his initial evaluation at the student health center, he denied pain with eye movement and did not see any ‘floaters’. The athlete was not experiencing double vision, but stated that he felt his vision was blurry. He did not wear glasses or contact lenses and had no prior history of eye injury or ocular disease. He had never previously had a slit lamp eye exam. PHYSICAL EXAMINATION Visual acuity: OS 20/200, OD 20/20. The patient was alert and oriented. There was no peri-orbital edema or erythema. There was no step-off at the orbital rim. Extra ocular movements were intact and pain-free. Pupils were equal, but OS was non-reactive to light. OD was reactive and with a normal consensual reflex. There was diffuse bulbar conjunctival injection of the right eye. The iris appeared to have blurring of the inferior aspect, and a small hyphema was visualized. No corneal abrasion was noted with fluorescein dye. PAST MEDICAL HISTORY — None significant MEDICATIONS — None ALLERGIES — Sulfa (causes rash) FAMILY HISTORY — No glaucoma or other significant diseases DIFFERENTIAL DIAGNOSIS Traumatic hyphema; Iritis; Retinal detachment Traumatic iridocyclitis; Traumatic iridodialysis TEST AND RESULTS Referral to an opthalmologist revealed: -Improved vision and decreased pain at the time of the consult (several hours after the injury) -Both eyes at that time were reactive to light, although the left pupil had a horizontal oval appearance -RBCs in the anterior chamber -No iris sphincter tears, but blurring of the iris detail -Equal anterior chamber depth of both eyes -Normal intra-ocular pressure (OS 12, OD 15) FINAL DIAGNOSIS Traumatic iritis Traumatic hyphema TREATMENT Strict sedentary activity × 2 weeks Head of bed elevated 30 degrees Eye shield at all times Atropine 1% one gtt OS bid Pred Forte 1% one gtt OS q3h Prednisone 40 mg QD × 5 days Zantac 75mg PO BID Close follow-up OUTCOMES The athlete was allowed to return to classes after one week and returned to sports after 2 weeks. -The hyphema fully resolved with no visual deficits. -The athlete will be followed for increased intraocular pressure for 1 year." @default.
- W2049376892 created "2016-06-24" @default.
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- W2049376892 date "2003-05-01" @default.
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- W2049376892 title "EYE INJURY - BASKETBALL" @default.
- W2049376892 doi "https://doi.org/10.1097/00005768-200305001-01684" @default.
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