A 33-year-old farmer complained sudden blurred vision, pain, redness, and photophobia in both eyes. He had 10-day history of fever, malaise, and myalgia. Examination Ophthalmic examination revealed bilateral anterior uveitis.
Local treatment (prednisolone eye drops, ointments, and cyclopentolate eye drops) alleviated the pain and photophobia but the next morning he had hyphema in his left eye (Refer attached images). Laboratory Investigations γ-glutamyltransferase: 129 U per liter (normal value, <55) Alanine aminotransferase: 49 U per liter (normal value, <45) WBCs count of 11,700 per cubic millimeter (normal range, 4400 to 11,300) IgM and IgG against Leptospira interrogans serovar serjoe (leptospirosis): Positive What is the most likely cause of hyphema in this patient? *This case is from Docplexus editorial team for educative purpose only, Source: NEJM
