Critical Cases - Traumatic Hyphema!
Tue, 05/11/2021 - 5:11am
- 55 year old male struck with unknown object in a bar fight
- He was found down for an unknown amount of time
- He denies pain or vision changes
- Note the red (blood) in the anterior chamber
- The complete filling of the anterior chamber is known as an "8 ball hyphema"
- IOP is measured at 15 mm Hg bilaterally
- Fluorescin stain is negative
- Elevate head of bed
- Consider globe rupture and place eye shield
- Monitor IOP
- Manage elevated IOP as per acute angle closure glaucoma - clotted blood clogs the trabecular meshwork and prevents drainage of aqueous humor
- Emergent opthalmology consult