Epidemiology and Presentation
The diagnosis of this patient was bilateral, secondary noninfections iridocyclitis. Iridocyclitis is caused by trauma due to the damage of cells resulting in an inflammatory response. There is a break down in the blood aqueous barrier allowing white blood cells and other inflammatory mediators to enter into the anterior chamber. Symptoms associated with iridocyclitis include pain, photophobia and redness of the eyes. Signs associated with iridocyclitis include anterior chamber cells and flare, circumlimbal flush, and keratic precipitates. There are many etiologies behind the occurrence of iridocyclitis, but trauma is a common cause. The standard management for noninfectious iridocyclitis is a corticosteroid to treat the inflammation and a cycloplegic agent to relieve pain and photophobia. Differential Diagnosis …show more content…
65% of non-congenital, unilateral, ocular blindness is caused by ocular trauma. When a patient presents to the clinic with a history of trauma to the eyes and/or orbit, it is very important to rule out and treat conditions that can be permanently sight threatening. These conditions include an open-globe injury, angle recession, orbital bone fracture, retrobulbar hemorrhage, retinal detachment and commotion retinae. First of all, it is important to ask the patient what caused the trauma in order to rule out an open-globe injury. These injuries are more often seen in males. In patients above the age of 18, occupational injury is the most common cause. Also, people over 18 have a worse visual prognosis because of the type of injury and they usually present with worse visual acuities than younger patients. In order to assess whether the injury is an open or closed globe injury, the doctor can perform the Seidel Test. If this test is positive, it is important to refer the patient
The diagnosis of this patient was bilateral, secondary noninfections iridocyclitis. Iridocyclitis is caused by trauma due to the damage of cells resulting in an inflammatory response. There is a break down in the blood aqueous barrier allowing white blood cells and other inflammatory mediators to enter into the anterior chamber. Symptoms associated with iridocyclitis include pain, photophobia and redness of the eyes. Signs associated with iridocyclitis include anterior chamber cells and flare, circumlimbal flush, and keratic precipitates. There are many etiologies behind the occurrence of iridocyclitis, but trauma is a common cause. The standard management for noninfectious iridocyclitis is a corticosteroid to treat the inflammation and a cycloplegic agent to relieve pain and photophobia. Differential Diagnosis …show more content…
65% of non-congenital, unilateral, ocular blindness is caused by ocular trauma. When a patient presents to the clinic with a history of trauma to the eyes and/or orbit, it is very important to rule out and treat conditions that can be permanently sight threatening. These conditions include an open-globe injury, angle recession, orbital bone fracture, retrobulbar hemorrhage, retinal detachment and commotion retinae. First of all, it is important to ask the patient what caused the trauma in order to rule out an open-globe injury. These injuries are more often seen in males. In patients above the age of 18, occupational injury is the most common cause. Also, people over 18 have a worse visual prognosis because of the type of injury and they usually present with worse visual acuities than younger patients. In order to assess whether the injury is an open or closed globe injury, the doctor can perform the Seidel Test. If this test is positive, it is important to refer the patient