Anu was an active sports player and had everything going right for her. She was excelling in Tennis at intercollege level and was on her way to become a national champion. One day while practicing ball hit her left eye. She not just experienced excruciating pain but an immediate blurring of vision in her left eye which was hit by the ball. She was rushed to Advanced eye Hospital, nearest best Eye hospital, on recommendation of her parents’ friends.
As soon as Anu reached Advanced eye hospital, she was checked by Dr. Rajesh Mishra, a Glaucoma and Cataract specialist. He noticed blood in her left eye and that led to the poor vision in her eye. He advised her bed rest and gave her some eye drops to hasten the absorption of the blood. He explained that we will have to be watchful of any more bleeding and eye pressure over the coming days.
On her next follow-up luckily for Anu the blood in the eye had reduced and her eye pressure was normal. Dr. Mishra again reassured the parents and mentioned about the continued need for monitoring the eye pressure. Over the next few weeks the blood was completely absorbed, her vision restored to near normal and her eye pressure stayed under control. Gonioscopy, a test to check the angles of the eye, revealed grade 1 angle recession. At that stage she needed no further treatment and was advised to follow-up after 3 months for a repeat eye pressure evaluation. In such cases it is important to ensure that eye pressure stays under control and patient does not develop glaucoma.
Traumatic glaucoma is any glaucoma caused by an injury to the eye.
Onset: This type of glaucoma can occur both immediately after an injury to the eye or years later.
Types: It can be caused by injuries that “bruise” the eye (called blunt trauma) and injuries that penetrate the eye.
Risk factors: Conditions such as severe nearsightedness, previous injury, infection or prior surgery may also make the eye more vulnerable to a serious eye injury.
As a result of an immediate injury, traumatic glaucoma is most commonly caused by blunt trauma, which is an injury that doesn’t penetrate the eye, such as a blow to the head or an injury directly on the eye.
Cause: The most common cause is from sports-related injuries, such as baseball or boxing. Normally, the eye fluid flows out of the front part of the eye through the pupil and then it is absorbed into the bloodstream through a meshwork of drainage canals around the outer edge of the iris.
Mechanism of glaucoma: When a blunt trauma occurs, damage to drainage canal system can occur. The most common cause is the tearing of the ciliary body, the part of the eye that produces eye fluid, which causes bleeding inside the eye.
The excess amount of blood, plasma and debris can accumulate and clog the drainage system. This can lead to an increase in eye pressure, which can damage the optic nerve thereby causing glaucoma.
Treatment: Elevated eye pressure due to blunt trauma is treated by keeping the eye pressure at safe levels while the eye drains the excess blood out.
Glaucoma medications to control the eye pressure are usually tried first. If this is not sufficient to control the eye pressure, surgery may be necessary.
The elevated eye pressure following blunt trauma is temporary in most cases. It is important, however, to make sure to get regular follow-up eye exams.
In some cases, the damaged drainage canals in the eye can develop scarring which can block fluid flow and can lead to glaucoma over a period. This type of glaucoma, called angle recession glaucoma, can occur many years after the initial injury.
It is important that people are more aware of the risks posed by eye injuries and protect their eyes from any kind of eye injury. In the event of an eye injury an immediate eye check-up is warranted.
About Advanced Eye Hospital and Institute:
Advanced Eye Hospital and Institute in Navi Mumbai is one of the best eye hospitals in Mumbai. Eye check-up rooms and the operation theatres are state-of-art and equipped with the best diagnostic and surgery machines. Personalised care, infection free modular operation theatres and beautiful ambience compliment the cutting-edge eye care offered at AEHI. Besides treating patients from Kharghar, Nerul, Seawoods, Sanpada, Belapur, Vashi, Ghansoli, Airoli and Panvel, patients from all over western India travel to AEHI for world class eye care management.
About Dr. Rajesh Mishra
Dr. Rajesh Mishra (MBBS, MS, FAEH, and PGDHM) is a Glaucoma and Cataract surgeon at Advanced Eye Hospital near Vashi, Navi Mumbai. He is trained from the best institutions and has years of experience managing glaucoma and cataract patients. Besides his clinical skills, his patients love him for his communication skills. He has successfully treated a variety of glaucoma patients, children and adults, as well as operated more than ten thousand cataracts and glaucoma. Consult Dr. Rajesh Mishra by booking an appointment.
Advanced Eye Hospital And Institute (AEHI) can be reached at (O): +91 22 67313636, (Emergency): +91 9167360360
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