When should imaging be ordered in cases of hyphaema?

Ordering imaging in cases of hyphema is crucial for assessing any underlying complications that may not be immediately visible through examination alone. The presence of blood in the anterior chamber of the eye can be associated with other serious conditions, such as fractures of the orbital bones or globe perforation.

Imaging helps to visualize the structure of the eye and surrounding areas, revealing potential injuries that require urgent intervention. This is particularly important in cases where there is a suspicion of trauma, which can lead to serious complications if not accurately diagnosed and treated.

While visible symptoms can indicate the need for further evaluation, relying solely on them could delay critical care. Regular imaging as part of a routine examination is not typically warranted unless there is an indication of trauma. Additionally, age alone, such as being over 60, does not dictate imaging necessity; rather, the clinical situation and history of trauma are the determining factors. Hence, the most appropriate action is to order imaging specifically to rule out fractures or entrapments associated with the hyphema.