Traumatic hyphema (continuing education credit).

Abstract

1. The successful treatment of patients with hyphemas depends on identification of risk factors, proper medical management, and prompt surgical intervention when indicated. 2. There are a number of management issues that the ophthalmologist deals with in treating traumatic hyphemas. These include inpatient versus outpatient treatment, limiting activity, weighing the advantages/disadvantages of Amicar to control secondary hemorrhages, and treating secondary glaucoma. 3. Two indications for surgical management include uncontrolled IOP or the development of corneal blood staining. 4. Hyphema patients require long-term, yearly follow-up to monitor for secondary glaucoma.