MDT EYE Hyphema

Question 1

What is an accumulation of red blood cells within the anterior chamber

Answer 1

Hyphema

Question 2

Normally, aqueous humor is completely replaced at what interval?

Answer 2

90 minutes

Question 3

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

Answer 3

Hyphema

Question 4

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

Answer 4

Immediate ophthalmology or optometry consult

Question 5

Differential Diagnosis for Hyphema

Answer 5

(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).

Question 6

What are the most common Risk factors for Hyphema?

Answer 6

Trauma or recent ocular surgery (intraocular surgery or laser)

Question 7

What labs/studies would you conduct for a Hyphema

Answer 7

(1) Complete eye exam.
(2) Consider a CT scan of the orbits and brain.

Question 8

Hyphemia Treatments

Answer 8

-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).

Question 9

Can you give asprin to your Hyphema PT?

Answer 9

NOOOOOOO

Question 10

After initial follow up period, patient may be maintained on what type of agent?

Answer 10

long-acting cycloplegic Agent

Question 11

True/False
Your Hyphema patient Glasses or eye shield during the day and eye shield at night.

Answer 11

True

Question 12

Complications for Hypema

Answer 12

(1) Intraocular pressure elevation or glaucoma.
(2) Synechiae (peripheral or posterior).