Hyphema: The Daily PANCE Blueprint

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Hyphema: The Daily PANCE Blueprint

A 67-year-old man presents after being struck in the left eye with a racquetball. Exam shows visual acuity 20/100, intraocular pressure 21 mm Hg, and a 2 mm layer of blood in the inferior anterior chamber. Which of the following is the most appropriate management?

A. Cycloplegic eye drops
B. Oral prednisone 60 mg daily
C. Topical dorzolamide and timolol
D. Pars plana vitrectomy
E. Outpatient follow-up in 24 hours

Answer and topic summary

The answer is E. Outpatient follow-up in 24 hours

Outpatient follow-up in 24 hours is most appropriate for a small, stable hyphema with normal intraocular pressures. Close observation is indicated since rebleeding can occur within the first week. Surgical intervention is reserved for cases with increased intraocular pressure or uncontrolled bleeding.

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Covered under ⇒  PANCE Blueprint EENT ⇒ Disorders of the Eye => Traumatic disorders => Hyphema