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Hyphema
Etiology: Trauma, Spontaneous (Sickle Cell), NVI (DM, Sickle Cell, tumor)
Questions: Mechanism, sickle cell, meds,
Workup: Full eye exam, light gonio, check for IOFB, IOP, sickledex
Treatment: IOP management (Avoid CAIs in Sickle Cell), atropine, pred, shield, avoid NSAIDs, shield, bedrest
Monitor daily for K staining and pressure
Aminocaproic acid can thin clots
1
Treatment of Iris Melanoma
Small - Observation
Medium - Plaque or External Beam RT
Large - Enuc
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