For Whom the Ball Takes its Toll

by Andrew S. Gurwood, O.D.

A 27-year-old woman presented following blunt trauma that she sustained while playing basketball. Her ocular history was unremarkable for disease, injuries or surgeries. Her systemic history was also noncontributory. All other historical data was unremarkable.

This is how the anterior segment structures of the right eye appeared in the slit lamp.

How would you approach this case? Read on for details about the exam. Then test your clinical skills by comparing your diagnosis and management plan with those of the author.

Best corrected visual acuities were 20/40 O.D., 20/20 O.S. at distance and near. There was no evidence of extraocular muscle entrapment or afferent pupillary defect. Refraction revealed clinical emmetropia. The figure above shows the slit lamp view of the right eye. The left eye had normal anterior segment structures. The angles were open in both eyes. Goldmann applanation pressures measured 16mm Hg in both eyes. A dilated fundus exam was normal.

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Click on this link to check your answer:  Diagnostic Quiz Answer

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