A young 23-year-old black African man presents with a hyphema in the right eye after blunt injury. All of the following are acceptable initial treatments except?
Carbonic anhydrase inhibitor pressure drops - For patients with hyphema (blood in the eye) advise them to avoid straining and sleep with their heads elevated to allow the blood to settle. - Use steroids to decrease the inflammation and a medium-acting cycloplegic to dilate the eye for comfo and to keep the inflamed iris from "sticking" to the lens underneath. - If the pressure is high, you can use pressure drops, but we avoid CAIs in African Americans as it induces RBC sickling in sickle-cell patients. You can get a sickle prep if you are suspicious for this disease
Sleep with the head elevate
Prednisolone steroid eye drops
Cyclopentolate dilating drops
Carbonic anhydrase inhibitor pressure drops
Vitreous Humour, Uveal Disorders