48y M advocate had fight sustained a blunt bump on lt eye. he is hypertensive and diabetic but doesn't intrested in treatment .

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Blunt trauma with massive s/cHg Examine under mydriasis any damage to to retina by direct or indirect effect then tell him you will loose your eye if nothing abnormal in retina blood will clear in 15 days. Once get his eye examined by local retina specialist

Sub conjunctival hemorrhage gets better on its own or use artificial tear drops to clear the hemorrhage.

Sir, If pt is not interested in treatment, why he came to hospital?? Just leave him or refer to some other. For clinical discussion sake: its subconjunctival h’ge (traumatic) . Record Intraocular preesure- to r/o traumatic rise of IOp. Check for iritis (cells /flare in anterior chamber), pupil reaction - RAPD to r/o traumatic optic neuropathy, lens status- to r/o subluxation/ dislocation, fundus examination- to r/ o retinal edema, choroidal rupture, dibetic retinopathy. Treat accordingly. If only Sub conjunctival h’ge- its self resolving condition in 2-4weeks,

Sub Conjunctival haemorrhage Test for field of vision, refraction and accommodation. See for any iridocyclitis (if so then loss of normal circular shape of pupil), retinal detachment or other associated injuries. If all are found normal then nothing to worry. Just treat symptomatically with pain killers, Hot compression (from second day), cold compress (first day), tear drops for soothing effect. Haemorrhage usually fades off by 7 days but in some peoples may persist upto 3 weeks. REFER HIM TO AN OPYHALMOLOGIST FOR BETTER EVALUATION.

Though gross subconjunctival haemorrhages are visible there is no problem for its disappearance. But other examinations are necessary for excluding effects of blunt injury and treat accordingly.

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Massive subconjunctival hemorrhage . Treatment and Prognosis will depend on whether there is underlying deep seated injury to the eye ball . Needs ophthalmic opinion.

Sc haemorrhage  Give Ice cooling TDS  Nd drop like Nephazoline  Oraly if patient have pain then give any pain Killers also

CHEMOSIS OF CONJUNCTIVA....TRAUMATIC ARNICA 30FEW DOSES AT INFREQUENT INTERVAL'S OF FEW HRS TILL THE CASE SETTLES.

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