Hyphema kya hai ?
Hyphema ek aisi sthiti hai jisme aankh ki anterior chamber (aankh ke samne ka hissa) mein khoon bhara hota hai. Ye aksar aankh ke choton ya kisi bimari ke karan hota hai. Isse red dot transparent cornea ke ander ya kabhi kabhi white part jise sclera bolte hai vaha dekha jata hai !
Isme aankho main dikhna kam hona , dard hona , vision main problem, irritation, blood aana etc. ho skte hai !
Treatment:
1. Rest:
Patient ko aaram karne ki salah di jati hai, aur aankh par pressure nahi dalna chahiye.
2. Eye Drops:
Anti-inflammatory ya pain-relieving eye drops istemal kiye ja sakte hain.
1. Immediate Care and Observation
Rest and Head Elevation:
Elevate the head to around 30–45 degrees to help blood settle and minimize the risk of re-bleeding.
Avoid Strain: Minimize physical activity, especially avoiding anything that could increase pressure, such as bending, lifting heavy objects, or straining.
2. Protect the Eye
Eye Shield: A shield or patch over the affected eye helps prevent further injury.
Avoid Aspirin and NSAIDs: These can thin the blood and increase bleeding risk. Acetaminophen can be used for pain relief.
3. Medications
Topical Eye Drops:
Mydriatic Drops (e.g., atropine): Dilates the pupil and helps reduce pain from ciliary spasm.
Steroid Drops: Decrease inflammation and reduce the risk of re-bleeding.
Intraocular Pressure Control: If intraocular pressure is elevated, medications like beta-blockers (e.g., timolol), carbonic anhydrase inhibitors (e.g., acetazolamide), or alpha agonists (e.g., brimonidine) may be prescribed.
4. Monitoring
Regular Check-ups: Frequent follow-up visits are necessary, especially in the first week after the injury, to monitor intraocular pressure and check for signs of complications.
5. Surgical Intervention
If the hyphema is large (greater than 50% of the anterior chamber), pressure remains elevated despite medication, or if there is a non-resolving clot, surgical evacuation of the blood may be necessary.
6. Lifestyle Precautions
Avoid alcohol, tobacco, or any recreational drugs that could impact healing.
7. Treatment of Underlying Causes (if non-traumatic)
If hyphema is non-traumatic, further workup may be needed to address underlying conditions (e.g., sickle cell disease, blood disorders).
Note: Always seek prompt evaluation from an eye care specialist, especially if vision is affected or pain increases.
Patient ko sir ko thoda upar rakhne ki salah di ja sakti hai taaki khoon neeche na aaye.
4. Avoiding Blood Thinners:
Agar koi blood thinner le raha hai, to uski wajah se bleeding badh sakti hai.
5. Surgery:
Agar hyphema zyada severe hai ya samay ke sath sudhar nahi hota, to surgery ki zarurat pad sakti hai.
Koi bhi treatment shuru karne se pehle eye specialist se salah lena zaroori hai.
