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Ophthalmo > Hyphema > Flashcards

Hyphema Flashcards

1
Q

Definition

A

Blood in A/C

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2
Q

Most common cause

A

Trauma

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3
Q

Other causes

A

Intraocular surgery
Spontaneous

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4
Q

The most common cause of spontaneous hyphema

A

Rubiosis iridis

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5
Q

Other causes of the non-traumatic or spontaneous hyphema

A

Blood disease (leukemia, hemphillia, anemia)
Drug dealer (warfarine, aspirin, NSAID)
IOtumor (retinoblastoma)
Infection(HZ, HS, TP)

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6
Q

Complications of hyphema

A

blood stained cornea
2ry glaucoma (both)
–vision (cross pupil)
2ry hyphema
Anterior uveitis

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7
Q

What is the cause of 2ry hyphema

A

Fibrinolytic hyperactivity

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8
Q

Tx of hyphema (briefly)

A

Admision
Bed rest (sitting)
Monitoring to IOP (with or without prophylaxis antiglaucoma)
Prophylaxis topical steroid, ABs, mydriatic, and Cycloplegics.
paracentesis in sevre case
Anti-fibrinolytic to prevent 2ry hyphema

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9
Q

Contraindications

A

Aspirin
NSAIDS
Mitotic

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10
Q

What is the complication that carries poor porgnosis

A

2ry hyphema

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Ophthalmo (48 decks)

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