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Ophthalmology · Trauma: hyphaema
Sample itemA child hit by a ball has blood layered in the anterior chamber. Which complication is most dreaded in the first week?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Rebleeding
Secondary haemorrhage typically occurs on days 2 to 5, with raised IOP and corneal blood staining. Management includes rest, head elevation, a shield, cycloplegics and avoiding aspirin and NSAIDs.
Option by option
A. Corneal dystrophy
Corneal dystrophy is not a result.
B. Rebleeding (correct)
Correct. Rebleeding is the major risk.
C. Cataract only
Cataract is a later complication.
D. Optic neuritis
Optic neuritis is not typical.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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