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Severely Elevated Intraocular Pressure Following Traumatic Asphyxia: A Case Report
Danny Epstein1, Shadi Safuri2, Sergiu Socea2
1Critical Care Division, Rambam Health Care Campus, Haifa, Israel.
The Journal of Emergency Medicine
|April 11, 2022
Summary
Traumatic asphyxia, a chest compression syndrome, can cause severe eye pressure elevation. Emergency physicians must include prompt ophthalmologic exams in patient secondary surveys.
Area of Science:
- Emergency Medicine
- Ophthalmology
- Trauma Surgery
Background:
- Traumatic asphyxia results from sudden chest pressure increases due to crushing injuries.
- This syndrome commonly presents with thoracic trauma, neurological deficits, and ocular issues.
Observation:
- This case report details traumatic asphyxia complicated by significant, vision-threatening intraocular pressure (IOP) elevation.
- The patient experienced severe ocular hypertension following the initial trauma.
Findings:
- Elevated intraocular pressure is a critical, potentially sight-threatening complication of traumatic asphyxia.
- Prompt tonometry and ophthalmologic evaluation are essential for managing these patients.
Implications:
- Emergency physicians must recognize the risk of elevated intraocular pressure in traumatic asphyxia cases.
- Integrating a thorough ophthalmologic examination into the secondary survey can prevent vision loss.
- Early detection and management of increased IOP are crucial for preserving vision in patients with traumatic asphyxia.
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