In a patient with hyphema, what is the first step in management?

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Multiple Choice

In a patient with hyphema, what is the first step in management?

Explanation:
Measuring intraocular pressure first is essential because a hyphema can block aqueous outflow and raise the pressure inside the eye. Getting an IOP reading right away tells you whether there is ocular hypertension that could damage the optic nerve or require urgent treatment, and it guides immediate management (such as IOP-lowering eye drops or systemic therapy) and the need for urgent ophthalmology input. If the IOP is normal, you can proceed with stabilization and observation (eye shield, head elevation). A fundoscopic exam is often limited by the blood in the anterior chamber, and MRI of the brain isn’t indicated for this ocular issue.

Measuring intraocular pressure first is essential because a hyphema can block aqueous outflow and raise the pressure inside the eye. Getting an IOP reading right away tells you whether there is ocular hypertension that could damage the optic nerve or require urgent treatment, and it guides immediate management (such as IOP-lowering eye drops or systemic therapy) and the need for urgent ophthalmology input. If the IOP is normal, you can proceed with stabilization and observation (eye shield, head elevation). A fundoscopic exam is often limited by the blood in the anterior chamber, and MRI of the brain isn’t indicated for this ocular issue.

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