Often delayed presentation after traumatic event, typically within 3 days of blunt trauma
Eye pain, especially if not relieved by topical anesthetic
Symptoms
Blurry vision in affected eye
Photophobia
Floaters
Tearing
Perilimbal conjunctival injection, ciliary flush
Decreased visual acuity
Sluggish pupil affected eye
Hallmark findings of consensual photophobia and “cell and flare” (anterior chamber) on slit limp examination
“Cell:” individual cells floating in the anterior chamber (look like dust specks)
“Flare:" protein floating in the anterior chamber from inflamed blood vessels. (smoke)
Hypopyon (severe cases): leukocytic exudate in anterior chamber
May deposit onto corneal endothelium as keratic precipitates
“Cell:” individual cells floating in the anterior chamber (look like dust specks)
“Flare:" protein floating in the anterior chamber from inflamed blood vessels. (smoke)
May deposit onto corneal endothelium as keratic precipitates
Complications:
Synechiae formation
Vossius' ring on anterior lens capsule
Due to concussive force of posterior iris onto lens
Depositing pigment in the pattern of a miosed pupil onto anterior lens
IOP may be increased due to inflammation, damage to ciliary body, or circumferential synechial formation
Due to concussive force of posterior iris onto lens
Depositing pigment in the pattern of a miosed pupil onto anterior lens
Traumatic iritis
Nontraumatic
Malignant otitis externa
Acute angle-closure glaucoma^
Dacryocystitis
Anterior uveitis
Mastoiditis
Conjunctivitis