Ophtho On Call Case 9: Case Continued…

Ophtho On Call Case 9 Index

Answer:  Sickle cell anemia is an important to evaluate for history or concern for history of sickle disease or trait. Sickling of cells can cause elevation in intraocular pressure (IOP), and in treating elevated IOP, carbonic anhydrase inhibitors should be avoided, as they can exacerbate sickling of the cells. History of blood thinners and anticoagulants use should also be elicited as these should be discontinued if possible. It is also important to be aware of any bleeding diathesis which may increase risk of rebleeding.

What complications do you want to monitor closely for? Pick 1 before moving on.
Corneal blood staining
Ocular hypertension
Angle recession glaucoma
Sympathetic ophthalmia
Iris atrophy

What treatment would you initiate? Click all that apply
Topical steroids
Aqueous suppressants 
Cycloplegic drops
Discontinue any NSAIDs and anticoagulants if possible
Head of the bed elevated
Broad spectrum oral antibiotic
Topical antihistamine

Click here to move on!

Ophtho On Call Case 9 Index
Ophtho On Call Case 9: Introduction
Ophtho On Call Case 9: Additional History & Physical Exam