DR. SAUVIK BARUA

Dr.Deepanjan Ghosh, Dr. BIKRAM DAM, Dr.GARIYASHEE LAHKAR

Abstract

A 30 y/Male, known case of sickle cell disease presented with complaints of pain, redness and sudden diminution of vision (L/E) for 4 days following trauma with finger nail. On ocular examination, 6/12 (R/E), PL+ (L/E), 8 ball hyphema (L/E), IOP: 40 mmHg (GAT) (L/E) and non visualisation of anterior segment on slit lamp biomicroscopy. USG B Scan (L/E) revealed hyphema with normal fundus findings and clear vitreous. Laboratory investigations revealed a picture of sickle cell disease. He was initially managed with IOP lowering agents following which paracentesis was done. IOP came down to 18 mmHg (GAT) (L/E) with open angle on gonioscopy. The patient is on regular follow up. Hyphema management merits immediate attention especially in cases of sickle cell disease as if left untreated can lead to deleterious consequences like glaucoma and total vision loss.