Hyphema Flashcards
1
Q
What is blood in the anterior chamber?
A
hyphema
2
Q
What is the cause of hyphema?
A
trauma or blunt trauma, idiopathic
3
Q
What can large hyphemas cause?
A
vision changes
4
Q
Who gets this?
A
Males, 10-20 yo
5
Q
What can happen with these with severe trauma?
A
rupture of globe
6
Q
What can cause spontaneous hyphema?
A
eye tumor Neovascularization - DM clotting disorder warfarin, ASA sickle cell disease
7
Q
What should you investigate with children?
A
abuse
8
Q
How do you dx?
A
slit lamp
9
Q
What is CM of hyphema?
A
pain and vision loss
N/V, photophobia
10
Q
What is the tx for this?
A
address underlying cause use eye shield bed rest avoid bright lights elevate head of bed pain control - proparacaine oral or IV narcotics
11
Q
What is no RBC in chamber but microhyphaema?
A
grade 0
12
Q
What is 1/3 of blood in chamber?
A
grade 1
13
Q
What is 1/3 to 1/2 blood in anterior chamber?
A
grade II
14
Q
what is blood 1/2 anterior chamber?
A
grade III
15
Q
What is total blood, black ball?
A
grade IV
