Hyphema Glaucoma Workup

Updated: Mar 24, 2016
  • Author: Inci Irak Dersu, MD, MPH; Chief Editor: Hampton Roy, Sr, MD  more...
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Workup

Laboratory Studies

Sickle cell prep: Screen for sickle cell. (This is mandatory upon presentation for non-white patients.)

Hemoglobin electrophoresis: Determine if the patient has sickle cell trait or disease.

If a bleeding disorder is suspected, prothrombin time (PT), partial thromboplastin time (PTT), platelet count, and liver function tests can be useful.

Aqueous samples from the anterior chamber are occasionally needed to differentiate rare types of glaucoma.

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Imaging Studies

In selected cases, obtain a CT scan of the orbit to exclude associated orbital fracture or foreign body.

Perform ultrasonography to rule out vitreous hemorrhage or retinal detachment.

CT and ultrasonography may also help in the diagnosis of other associated eye injuries.

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Other Tests

Ultrasound biomicroscopy is a useful tool to identify angle recession or cyclodialysis cleft occurs following hyphema/ocular trauma.

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