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학습 자료 둘러보기 →The pathognomonic sign is blood in the anterior chamber, often settling as a visible layer inferiorly. This results from blunt trauma tearing vessels of the iris or ciliary body.
Assess visual acuity and pupillary response immediately. A slit-lamp exam is essential to grade the hyphema (microscopic vs. gross).
Elevated intraocular pressure (IOP) is a critical complication. Monitor for spikes above 21 mm Hg due to trabecular meshwork obstruction, which can lead to secondary glaucoma and permanent vision loss.
Maintain head of bed elevation at 30-45 degrees to promote settling of blood and reduce IOP. Protect the eye with a rigid shield, and instruct the patient to avoid any straining, bending, or lifting.
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