Glaucoma relacionado a trauma ocular y manejo de la presión intraocular

Glaucoma secondary to ocular trauma is a clinical picture characterized by increased intraocular pressure (IOP), visual field alterations accompanied by optic nerve involvement and decreased visual acuity, which may be the result of an alteration in the drainage of aqueous humor, due to obstruction caused by inflammatory cells, blood cells, fibrin, proteins, iridia pigments, and even alterations of the crystalline lens. We present a clinical case of an 18-year-old male patient with a diagnosis of traumatic glaucoma secondary to blunt ocular trauma to the left eye. The initial clinical evolution had a rapidly progressive course, which warranted the prompt use of treatment based on topical corticosteroids, intravenous, oral and topical hypotensors, which initially failed to obtain IOP within the limits of normality and which later, through dose adjustments, achieved success with IOP results in the normal range and without functional alterations. For the realization of this case presentation, updated bibliography was consulted with the objective of knowing the conduct to follow and specific treatment. It is concluded that traumatic glaucoma, if not treated in time, constitutes an imminent risk of irreversible blindness.