Which clinical history findings are characteristic of hyphema glaucoma?

Updated: Jul 29, 2020
  • Author: Inci Irak Dersu, MD, MPH; Chief Editor: Hampton Roy, Sr, MD  more...
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Answer

When a patient presents with a hyphema, the most critical first step is obtaining a thorough history of the trauma.

The mechanism of the injury and the type of assaulting object must be ascertained. Hyphema may be accompanied by a foreign object in the eye.

Sports injuries, motor vehicle accidents, and work-related injuries are common causes of hyphema.

It is important to determine if the patient was wearing protective eyewear at the time of the trauma.

The patient's ethnic origin is important. Sickle cell trait/disease is more common in patients of African and Mediterranean descent.

A good past medical history needs to be obtained, including sickle cell hemoglobinopathy, diabetes, and herpetic infection.

Past ocular history, including ocular surgery and laser surgery, is important.

Asking about the use of blood thinners in addition to alternative medicine, such as ginkgo biloba, is important.


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