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Images in Clinical Medicine Lindsey R. Baden, M.D., Editor

Hyphema A



33-year-old man who was a pig farmer presented with sudden blurred vision, pain, redness, and photophobia in both eyes. He had a 10-day history of persistent fever (temperature, 39.4 C°), malaise, and myalgia. Ophthalmologic examination revealed bilateral iridocyclitis (anterior uveitis). Local treatment (prednisolone eyedrops and ointment and cyclopentolate eyedrops) alleviated the pain and photophobia overnight, but the next morning he had hyphema in his left eye (Panel A shows a view with the lightsource reflection at the 3 o’clock position, and Panel B at the 9 o’clock position illuminating a section of the anterior chamber). Laboratory testing revealed a γ-glutamyltransferase level of 129 U per liter (normal value,

Images in clinical medicine. Hyphema.

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