Knowledge (XXG)

Hyphema

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346:. Small hyphemas can usually be treated on an outpatient basis. There is little evidence that most of the commonly used treatments for hyphema (antifibrinolytic agents , corticosteroids , cycloplegics, miotics, aspirin, conjugated estrogens, traditional Chinese medicine, monocular versus bilateral patching, elevation of the head, and bed rest) are effective at improving visual acuity after two weeks. Surgery may be necessary for non-resolving hyphemas, or hyphemas that are associated with high pressure that does not respond to medication. Surgery can be effective for cleaning out the anterior chamber and preventing corneal blood staining. 142: 203:
gravity lower in the anterior chamber of the eye, between the iris and the cornea. In many people, the vision will improve, however some people may have other injuries related to trauma to the eye or complications related to the hyphema. A microhyphema, where red blood cells are hanging in the anterior chamber of the eye, is less severe. A layered hyphema when fresh blood is seen lower in the anterior chamber is moderately severe. A full hyphema (total hyphema), when blood fills up the chamber completely, is the most severe.
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are often prescribed for hyphema on the basis that they reduce the risk of rebleeding by inhibiting the conversion of plasminogen to plasmin, and thereby keeping clots stable. However, the evidence for their effectiveness is limited and aminocaproic acid may actually cause hyphemas to take longer to
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A decrease in vision or a loss of vision is often the first sign of a hyphema. People with microhyphema may have slightly blurred or normal vision. A person with a full hyphema may not be able to see at all (complete loss of vision). The person's vision may improve over time as the blood moves by
194:. People usually first notice a loss or decrease in vision. The eye may also appear to have a reddish tinge, or it may appear as a small pool of blood at the bottom of the iris in the cornea. A traumatic hyphema is caused by a blow to the eye. A hyphema can also occur spontaneously. 411:
As of 2012, the rate of hyphemas in the United States are about 20 cases per 100,000 people annually. The majority of people with a traumatic hyphema are children and young adults. 60% of traumatic hyphemas are sports-related, and there are more cases in males compared to females.
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The eye is divided into a small front (anterior) segment, in front of the lens, and a large rear (posterior) segment, behind the lens. The anterior chamber is the light gray area at the top of this illustration.
274:, blunt trauma, and lacerating trauma. Hyphemas may also occur spontaneously, without any inciting trauma. Spontaneous hyphemas are usually caused by the abnormal growth of blood vessels ( 2409: 1847: 1244: 2402: 1916: 1842: 3024: 436: 2395: 856: 234:
Secondary hemorrhage, or rebleeding of the hyphema, is thought to worsen outcomes in terms of visual function and lead to complications such as
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While the vast majority of hyphemas resolve on their own without issue, sometimes complications occur. Traumatic hyphema may lead to increased
403:. On average, the increased pressure in the eye remains for six days before dropping. Most uncomplicated hyphemas resolve within 5–6 days. 1724: 633:
Recchia, Franco M.; Aaberg Jr., Thomas; Sternberg Jr., Paul (2006-01-01). Hinton, David R.; Schachat, Andrew P.; Wilkinson, C. P. (eds.).
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The main goals of treatment are to decrease the risk of re-bleeding within the eye, corneal blood staining, and atrophy of the
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Hyphemas are frequently caused by injury, and may partially or completely block vision. The most common causes of hyphema are
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Hyphemas require urgent assessment by an optometrist or ophthalmologist as they may result in permanent visual impairment.
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and consequently increase the risk of additional bleeding. Sedation is not usually necessary for patients with hyphema.
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may also cause hyphema. Source of bleeding in hyphema with blunt trauma to eye is circulus iridis major artery.
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Gharaibeh, Almutez; Savage, Howard I.; Scherer, Roberta W.; Goldberg, Morton F.; Lindsley, Kristina (2019).
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Walton, William; Von Hagen, Stanley; Grigorian, Ruben; Zarbin, Marco (July–August 2002).
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Chapter 140 - Trauma: Principles and Techniques of Treatment A2 - Ryan, Stephen J
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Crawford, JS; Lewandowski, RL; Chan, W (September 1975).
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579: 577: 575: 294:). Additional causes of spontaneous hyphema include: 716: 2907: 2864: 2785: 2729: 2671: 2664: 2657: 2585: 2547: 2460: 2453: 2321: 2268: 2233: 2193: 2105: 2056: 2021: 1962: 1930: 1898: 1877: 1818: 1763: 1659: 1500: 1460: 1416: 1357: 1348: 1198: 1175: 1166: 1091: 1053: 1020: 983: 904: 895: 790: 720: 153: 149:
Hyphema - occupying half of anterior chamber of eye
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Edinburgh: Mosby. pp. 2379–2401. 449: 391:A long-standing hyphema may result in 481: 479: 477: 475: 473: 7: 1725:Familial exudative vitreoretinopathy 628: 626: 471: 469: 467: 465: 463: 461: 459: 457: 455: 453: 47:adding citations to reliable sources 1848:non-arteritic anterior (NAION) 1685:Leber's hereditary optic neuropathy 3025:Disorders of iris and ciliary body 1720:Persistent tunica vasculosa lentis 643:10.1016/b978-0-323-02598-0.50146-4 14: 1448:Polypoidal choroidal vasculopathy 672:American Journal of Ophthalmology 586:"Management of Traumatic Hyphema" 437:Uveitis–glaucoma–hyphema syndrome 349:If pain management is necessary, 2764:platelet storage pool deficiency 2716:Heparin-induced thrombocytopenia 1553:Central retinal artery occlusion 23: 1558:Branch retinal artery occlusion 1287:Terrien's marginal degeneration 34:needs additional citations for 2483:Activated protein C resistance 1588:Bietti's crystalline dystrophy 1548:Central retinal vein occlusion 1277:Pellucid marginal degeneration 504:10.1002/14651858.CD005431.pub4 1: 1641:Vitelliform macular dystrophy 1532:Posterior vitreous detachment 1398:Persistent pupillary membrane 602:10.1016/S0039-6257(02)00317-X 254:, an irreversible condition. 2577:Trousseau sign of malignancy 2128:Leber's congenital amaurosis 2039:Internuclear ophthalmoplegia 1730:Vogt-Koyanagi-Harada disease 1715:Persistent fetal vasculature 1646:Leber's congenital amaurosis 684:10.1016/0002-9394(75)90224-X 430: â€“ British virtual band 2897:Nonthrombocytopenic purpura 2473:Antithrombin III deficiency 927:Meibomian gland dysfunction 215:(IOP), peripheral anterior 3041: 2852:Congenital afibrinogenemia 2756:Glanzmann's thrombasthenia 1651:Birdshot chorioretinopathy 1625:Central serous retinopathy 1443:Focal choroidal excavation 1316:Corneal neovascularization 1133:Subconjunctival hemorrhage 2968:Gastrointestinal bleeding 2770:Hermansky–Pudlak syndrome 2539:Antiphospholipid syndrome 2520:Essential thrombocythemia 2430: 2363: 2350: 2118: 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vein thrombosis 2488:Protein S deficiency 2478:Protein C deficiency 2029:Conjugate gaze palsy 1900:Paralytic strabismus 1833:anterior (AION) 1615:Retinitis pigmentosa 1610:Macular degeneration 1383:Intermediate uveitis 1299:Keratoconjunctivitis 401:intraocular pressure 238:, corneal staining, 213:intraocular pressure 43:improve this article 2832:Factor X deficiency 2721:May–Hegglin anomaly 2498:Prothrombin G20210A 2334:Childhood blindness 2313:Parinaud's syndrome 1883:Extraocular muscles 1671:Ocular hypertension 1635:Epiretinal membrane 1620:Retinal haemorrhage 1475:Congenital cataract 272:intraocular surgery 2958:Pulmonary hematoma 2865:Signs and symptoms 2640:Pulmonary embolism 2445:Bleeding diathesis 1860:Leber's hereditary 1527:Retinal detachment 1480:Childhood cataract 1292:Post-LASIK ectasia 1073:Orbital cellulitis 1022:Lacrimal apparatus 791:External resources 552:Sheppard, John D. 340: 300:myotonic dystrophy 276:neovascularization 268: 3012: 3011: 3008: 3007: 2860: 2859: 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713:External links 711: 708: 707: 658: 651: 622: 596:(4): 297–334. 571: 535: 448: 447: 445: 442: 441: 440: 434: 425: 417: 414: 408: 405: 385: 382: 353:can be used. 331: 328: 280:retinoblastoma 259: 256: 208: 205: 199: 196: 171: 170: 157: 151: 150: 146: 145: 137: 136: 133: 129: 128: 120: 117: 116: 31: 29: 22: 15: 13: 10: 9: 6: 4: 3: 2: 3037: 3026: 3023: 3022: 3020: 2999: 2996: 2995: 2993: 2989: 2988:Hematosalpinx 2986: 2984: 2981: 2979: 2976: 2974: 2971: 2969: 2966: 2965: 2963: 2959: 2956: 2954: 2951: 2949: 2946: 2945: 2943: 2939: 2936: 2934: 2931: 2929: 2926: 2924: 2921: 2919: 2916: 2915: 2913: 2912: 2910: 2906: 2898: 2895: 2894: 2893: 2890: 2888: 2885: 2883: 2880: 2878: 2875: 2873: 2870: 2869: 2867: 2863: 2853: 2850: 2848: 2845: 2843: 2840: 2838: 2835: 2833: 2830: 2828: 2825: 2823: 2820: 2818: 2815: 2811: 2808: 2806: 2803: 2801: 2798: 2797: 2796: 2793: 2792: 2790: 2788: 2784: 2776: 2773: 2771: 2768: 2767: 2766: 2765: 2761: 2757: 2754: 2753: 2752: 2749: 2745: 2742: 2741: 2740: 2737: 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2286: 2284: 2281: 2279: 2276: 2275: 2273: 2271: 2267: 2257: 2254: 2252: 2249: 2247: 2244: 2242: 2239: 2238: 2236: 2232: 2226: 2223: 2219: 2216: 2214: 2211: 2209: 2206: 2205: 2204: 2201: 2200: 2198: 2196: 2192: 2186: 2182: 2178: 2175: 2171: 2168: 2167: 2166: 2163: 2159: 2156: 2154: 2151: 2149: 2148:Achromatopsia 2146: 2145: 2144: 2141: 2139: 2136: 2134: 2131: 2129: 2126: 2124: 2121: 2120: 2117: 2114: 2112: 2108: 2104: 2098: 2095: 2093: 2089: 2088:Anisometropia 2086: 2084: 2081: 2077: 2074: 2072: 2069: 2068: 2067: 2064: 2063: 2061: 2059: 2055: 2045: 2042: 2040: 2037: 2035: 2032: 2030: 2027: 2026: 2024: 2020: 2014: 2011: 2009: 2006: 2004: 2001: 1997: 1994: 1992: 1989: 1988: 1987: 1984: 1982: 1979: 1977: 1973: 1970: 1969: 1967: 1965: 1961: 1951: 1948: 1946: 1943: 1941: 1938: 1937: 1935: 1933: 1929: 1923: 1920: 1918: 1915: 1913: 1910: 1909: 1906: 1903: 1901: 1897: 1894: 1892: 1891:Accommodation 1888: 1884: 1880: 1876: 1866: 1863: 1861: 1858: 1856: 1853: 1849: 1846: 1844: 1841: 1839: 1836: 1834: 1831: 1830: 1829: 1826: 1825: 1823: 1821: 1817: 1811: 1808: 1806: 1805:Optic atrophy 1803: 1799: 1796: 1795: 1794: 1791: 1787: 1784: 1783: 1782: 1779: 1778: 1775: 1772: 1770: 1766: 1762: 1758: 1754: 1749: 1745: 1731: 1728: 1726: 1723: 1721: 1718: 1716: 1713: 1711: 1708: 1706: 1705:Keratomycosis 1703: 1701: 1700:Globe rupture 1698: 1696: 1693: 1691: 1688: 1686: 1683: 1681: 1678: 1676: 1672: 1668: 1665: 1664: 1662: 1658: 1652: 1649: 1647: 1644: 1642: 1639: 1636: 1633: 1631: 1630:Macular edema 1628: 1626: 1623: 1621: 1618: 1616: 1613: 1611: 1608: 1604: 1601: 1599: 1596: 1594: 1591: 1589: 1586: 1584: 1581: 1579: 1576: 1574: 1571: 1569: 1566: 1565: 1564: 1561: 1559: 1556: 1554: 1551: 1549: 1545: 1542: 1540: 1539:Retinoschisis 1537: 1533: 1530: 1529: 1528: 1525: 1521: 1518: 1516: 1513: 1512: 1511: 1508: 1507: 1505: 1503: 1499: 1493: 1490: 1488: 1485: 1481: 1478: 1476: 1473: 1472: 1471: 1468: 1467: 1465: 1463: 1459: 1449: 1446: 1444: 1441: 1437: 1434: 1433: 1432: 1429: 1427: 1426:Choroideremia 1424: 1423: 1421: 1419: 1415: 1409: 1406: 1404: 1403:Iridodialysis 1401: 1399: 1396: 1394: 1391: 1389: 1386: 1384: 1381: 1379: 1376: 1375: 1373: 1368: 1365: 1363: 1360: 1359: 1356: 1353: 1351: 1347: 1337: 1334: 1332: 1331:Arcus senilis 1329: 1327: 1326:Haab's striae 1324: 1322: 1319: 1317: 1314: 1312: 1309: 1305: 1302: 1301: 1300: 1297: 1293: 1290: 1288: 1285: 1283: 1280: 1278: 1275: 1273: 1270: 1269: 1268: 1265: 1261: 1258: 1256: 1253: 1252: 1251: 1248: 1246: 1243: 1241: 1240:Corneal ulcer 1238: 1234: 1231: 1229: 1226: 1224: 1221: 1219: 1218:acanthamoebic 1216: 1214: 1211: 1210: 1209: 1206: 1205: 1203: 1201: 1197: 1191: 1188: 1186: 1183: 1182: 1180: 1178: 1174: 1171: 1169: 1168:Fibrous tunic 1165: 1161: 1157: 1152: 1148: 1134: 1131: 1129: 1126: 1124: 1121: 1119: 1116: 1112: 1109: 1108: 1107: 1104: 1102: 1099: 1098: 1096: 1094: 1090: 1084: 1081: 1079: 1076: 1074: 1071: 1069: 1066: 1064: 1061: 1060: 1058: 1056: 1052: 1046: 1045:Xerophthalmia 1043: 1041: 1038: 1036: 1033: 1031: 1028: 1027: 1025: 1023: 1019: 1009: 1006: 1004: 1001: 999: 996: 994: 991: 990: 988: 986: 982: 976: 973: 971: 968: 966: 963: 961: 958: 956: 953: 951: 950:Lagophthalmos 948: 946: 943: 941: 938: 937: 934: 928: 925: 923: 920: 918: 915: 913: 910: 909: 907: 903: 900: 898: 894: 890: 886: 881: 877: 870: 867: 866: 860: 855: 853: 848: 846: 841: 840: 837: 831: 828: 827: 817: 813: 812: 808: 806: 802: 801: 797: 796: 793: 789: 782: 778: 777: 773: 771: 767: 766: 762: 760: 756: 755: 751: 747: 745: 741: 740: 736: 732: 731: 728: 723: 719: 712: 703: 699: 694: 689: 685: 681: 677: 673: 669: 662: 659: 654: 652:9780323025980 648: 644: 640: 636: 629: 627: 623: 611: 607: 603: 599: 595: 591: 587: 580: 578: 576: 572: 559: 555: 548: 546: 544: 542: 540: 536: 531: 527: 522: 517: 513: 509: 505: 501: 497: 493: 489: 482: 480: 478: 476: 474: 472: 470: 468: 466: 464: 462: 460: 458: 456: 454: 450: 443: 438: 435: 429: 426: 423: 420: 419: 415: 413: 406: 404: 402: 398: 397:heterochromia 394: 393:hemosiderosis 389: 383: 381: 378: 374: 370: 368: 365:' ability to 364: 360: 356: 352: 351:acetaminophen 347: 345: 338:Total hyphema 336: 329: 327: 325: 321: 317: 313: 309: 305: 301: 297: 293: 289: 285: 281: 277: 273: 264: 257: 255: 253: 249: 245: 241: 240:optic atrophy 237: 232: 230: 229:accommodation 226: 222: 218: 214: 207:Complications 206: 204: 197: 195: 193: 189: 185: 181: 177: 167: 161: 160:Ophthalmology 158: 156: 152: 147: 143: 138: 134: 130: 125: 113: 110: 102: 91: 88: 84: 81: 77: 74: 70: 67: 63: 60: â€“  59: 55: 54:Find sources: 48: 44: 38: 37: 32:This article 30: 26: 21: 20: 2998:Hemarthrosis 2932: 2762: 2750: 2738: 2628:Pratt's sign 2440:coagulopathy 2183: / 2179: / 2158:Monochromacy 2090: / 1986:Heterophoria 1974: / 1673: / 1669: / 1573:hypertensive 1546: / 1387: 1367:Ciliary body 1282:Keratoglobus 1190:Episcleritis 1068:Enophthalmos 1063:Exophthalmos 1008:Trichomegaly 1003:Distichiasis 905:Inflammation 809: 798: 774: 763: 748: 733: 675: 671: 661: 634: 613:. Retrieved 593: 589: 562:. Retrieved 557: 498:: CD005431. 495: 491: 410: 407:Epidemiology 390: 387: 373:Aminocaproic 371: 348: 341: 269: 233: 210: 201: 198:Presentation 186:between the 175: 174: 105: 96: 86: 79: 72: 65: 53: 41:Please help 36:verification 33: 2751:aggregation 2633:Rose's sign 2603:Homans sign 2435:Coagulation 2308:Cycloplegia 2251:Photophobia 2246:Hemeralopia 2203:Hemianopsia 2181:Vision loss 2092:Aniseikonia 2083:Astigmatism 2003:Cyclotropia 1981:Hypertropia 1793:Papilledema 1765:Optic nerve 1598:Sickle cell 1578:Purtscher's 1563:Retinopathy 1431:Choroiditis 1272:Keratoconus 1093:Conjunctiva 970:Xanthelasma 922:Blepharitis 800:MedlinePlus 615:29 November 564:29 November 367:form a clot 344:optic nerve 244:vision loss 225:optic nerve 132:Other names 2983:Hematocele 2948:Hemothorax 2923:Hemoptysis 2795:Hemophilia 2567:Thrombosis 2357:Infections 2278:Anisocoria 2241:Asthenopia 2234:subjective 2218:homonymous 2213:bitemporal 2165:Nyctalopia 2153:Dichromacy 2097:Presbyopia 2058:Refraction 1879:Strabismus 1769:Optic disc 1128:Pinguecula 993:Trichiasis 776:DiseasesDB 560:. Medscape 558:WebMD, LLC 444:References 308:hemophilia 69:newspapers 2973:Hemobilia 2918:Epistaxis 2505:Platelets 2329:Nystagmus 2303:Mydriasis 2177:Blindness 2123:Amblyopia 2111:Blindness 2071:Hyperopia 1996:Exophoria 1991:Esophoria 1976:Exotropia 1972:Esotropia 1510:Retinitis 1208:Keratitis 1185:Scleritis 1118:Pterygium 998:Madarosis 945:Ectropion 940:Entropion 917:Chalazion 811:eMedicine 554:"Hyphema" 512:1469-493X 384:Prognosis 363:platelets 359:ibuprofen 330:Treatment 252:amblyopia 217:synechiae 155:Specialty 99:June 2016 58:"Hyphema" 3019:Category 2964:abdomen 2887:Petechia 2882:Hematoma 2872:Bleeding 2739:adhesion 2665:By cause 2658:Bleeding 2562:Thrombus 2461:By cause 2454:Clotting 2424:clotting 2420:bleeding 2368:Trachoma 2133:Diplopia 1828:Ischemic 1753:Pathways 1667:Glaucoma 1568:diabetic 1470:Cataract 1408:Synechia 1260:Meesmann 1228:Exposure 1213:herpetic 1111:allergic 1101:Chemosis 1035:Epiphora 610:12161209 530:30640411 422:Hypopyon 416:See also 320:warfarin 304:leukemia 284:melanoma 282:or iris 248:glaucoma 236:glaucoma 190:and the 135:Hyphaema 2933:Hyphema 2908:By site 2892:Purpura 2586:By site 2208:binasal 2195:Anopsia 2138:Scotoma 1932:palsies 1695:Red eye 1680:Floater 1487:Aphakia 1418:Choroid 1388:Hyphema 1378:Uveitis 985:Eyelash 816:oph/765 770:D006988 702:1163602 693:1311523 521:6353164 380:clear. 355:Aspirin 316:aspirin 288:uveitis 223:of the 221:atrophy 182:of the 176:Hyphema 127:Hyphema 83:scholar 2994:joint 2944:torso 2877:Bruise 2800:A/VIII 2298:Miosis 2076:Myopia 1855:Kjer's 1603:photic 1502:Retina 1255:Fuchs' 1223:fungal 1200:Cornea 1177:Sclera 960:Ptosis 897:Eyelid 885:Adnexa 805:001021 759:364.41 700:  690:  649:  608:  528:  518:  510:  310:, and 258:Causes 192:cornea 162:  85:  78:  71:  64:  56:  2914:head 2549:Clots 2322:Other 2270:Pupil 1660:Other 1304:sicca 1156:Globe 1055:Orbit 781:31299 744:H21.0 322:, or 242:, or 90:JSTOR 76:books 2810:C/XI 2805:B/IX 2422:and 1462:Lens 1362:Iris 912:Stye 765:MeSH 754:9-CM 698:PMID 647:ISBN 617:2012 606:PMID 566:2012 526:PMID 508:ISSN 395:and 357:and 188:iris 62:news 2702:TTP 2685:ITP 2527:DIC 750:ICD 735:ICD 688:PMC 680:doi 639:doi 598:doi 516:PMC 500:doi 375:or 286:), 184:eye 45:by 3021:: 2697:TM 2683:: 814:: 803:: 779:: 768:: 757:: 742:: 739:10 696:. 686:. 676:80 674:. 670:. 645:. 625:^ 604:. 594:47 592:. 588:. 574:^ 556:. 538:^ 524:. 514:. 506:. 494:. 490:. 452:^ 318:, 306:, 302:, 298:, 231:. 219:, 2411:e 2404:t 2397:v 858:e 851:t 844:v 752:- 737:- 727:D 704:. 682:: 655:. 641:: 619:. 600:: 568:. 532:. 502:: 496:1 112:) 106:( 101:) 97:( 87:· 80:· 73:· 66:· 39:.

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Specialty
Ophthalmology
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anterior chamber
eye
iris
cornea
intraocular pressure
synechiae
atrophy
optic nerve
accommodation
glaucoma
optic atrophy
vision loss
glaucoma
amblyopia

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