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Child with left eye pain
  1. Jen-Tang Sun,
  2. Chih-Jung Chang,
  3. Shyh-Shyong Sim
  1. Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan
  1. Correspondence to Dr Shyh-Shyong Sim, Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City 220216, Taiwan; vin_shyong{at}

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Clinical introduction

A 9-year-old boy visited our ED with left eye pain with visual loss. His left eye was hit by a rope while he was watching his friend jumping with the rope 2 days ago. The injured eye is shown in figure 1. The intraocular pressure of the injured eye was 23.3 mm Hg, with only light perception.

Figure 1

The injured eye. Darkness over the anterior chamber, iris and pupil was not visible.


What is the most likely diagnosis?

  • A. Acute angle-closure glaucoma

  • B. Anterior uveitis

  • C. Endophthalmitis

  • D. Eight-ball hyphema

Answer: D


Grade 4 hyphema, or a total …

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  • Contributors S-SS and J-TS drafted the article. J-TS and C-JC prepared the figure. S-SS, J-TS and C-JC contributed to article review and revision. S-SS takes full responsibility for the paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.