• J Emerg Med · May 2022

    Case Reports

    Severely Elevated Intraocular Pressure Following Traumatic Asphyxia: A Case Report.

    • Danny Epstein, Shadi Safuri, Sergiu Socea, Efrat Naaman, and Yaron Bar-Lavie.
    • Critical Care Division, Rambam Health Care Campus, Haifa, Israel.
    • J Emerg Med. 2022 May 1; 62 (5): e95-e97.

    BackgroundTraumatic asphyxia is a syndrome caused by a sudden pressure rise in the chest caused by crushing injury of the thorax or upper abdomen. It is associated with a variety of thoracic injuries, neurological symptoms, and ocular complications.Case ReportWe report an unusual case of traumatic asphyxia complicated by severe, sight-threatening, elevation in intraocular pressure. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: After initial stabilization, the treatment of patients with traumatic asphyxia is supportive and is mainly directed toward the accompanying injuries and complications. A complete and prompt ophthalmologic examination, including tonometry, should be an integral part of the secondary survey. This is particularly important in patients who cannot report visual impairment, such as children or unconscious patients.Copyright © 2022 Elsevier Inc. All rights reserved.

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