Rapid Review: Hyphema

Hyphema

• Patient with a history of blunt or penetrating trauma
• Complaining of blurry vision
• PE will show unequal pupils, injected conjunctiva/sclera and blood in anterior chamber
• Treatment is eye protection and rest with the head of the bed at 30-45 degrees all the times

A 13-year-old boy is brought to the urgent care clinic by his mother. He was struck in the eye with a baseball while playing with classmates during recess. He complains of blurred vision and excruciating eye pain. Examination of the eye reveals decreased visual acuity, miosis, photophobia, and grossly visible blood in the anterior chamber.