MDT EYE Hyphema Flashcards
What is an accumulation of red blood cells within the anterior chamber
Hyphema
Normally, aqueous humor is completely replaced at what interval?
90 minutes
Your patient has these issues what would you suspect?
(1) Blood or clot or both in the anterior chamber (visible without a slit lamp).
(a) May be black or red
(2) Pain
(3) Sensitivity to light
(4) Blurred, clouded or blocked vision
(5) History of blunt trauma
Hyphema
Your patient has these issues what is the IMMEDIATE action?
(1) Blood or clot or both in the anterior chamber (visible without a slit lamp).
(a) May be black or red
(2) Pain
(3) Sensitivity to light
(4) Blurred, clouded or blocked vision
(5) History of blunt trauma
Immediate ophthalmology or optometry consult
Differential Diagnosis for Hyphema
(1) Ruptured globe and penetrating ocular injury.
(2) Inflammatory / Infectious hyphemia (herpetic uveitis).
(3) Neovascularization hyphemia (abnormal blood vessel growth from posterior
segment ischemia).
(4) Neoplastic hyphemia (tumor growth, melanoma, retinoblastoma).
What are the most common Risk factors for Hyphema?
Trauma or recent ocular surgery (intraocular surgery or laser)
What labs/studies would you conduct for a Hyphema
(1) Complete eye exam.
(2) Consider a CT scan of the orbits and brain.
Hyphemia Treatments
- Bed rest with elevation of the head (to allow blood to settle) or limited activity (No strenuous activity, bending, or heavy lifting).
- Place a rigid shield (metal or clear plastic) over the involved eye at all times.
- Avoid antiplatelet/anticoagulant medications (i.e., aspirin-containing products and NSAIDs) unless otherwise medically necessary.
- Mild analgesics only (e.g., acetaminophen).
Can you give asprin to your Hyphema PT?
NOOOOOOO
After initial follow up period, patient may be maintained on what type of agent?
long-acting cycloplegic Agent
True/False
Your Hyphema patient Glasses or eye shield during the day and eye shield at night.
True
Complications for Hypema
(1) Intraocular pressure elevation or glaucoma.
2) Synechiae (peripheral or posterior