The evaluation of a hyphema begins with a medical history and physical examination. This includes vision testing, examining the retina with an ophthalmoscope, and a slit lamp exam.

Physical findings in someone with a hyphema may include:

• Tenderness around the eye
• Swelling around the eye
• Bruising around the eye
• A collection of blood in front of the pupil

Tests may be necessary to determine severity of the eye injury.

Tests that may be used to evaluate hyphema include:

• Visual acuity
• X-ray of the orbit

Imaging tests that may be used to evaluate hyphema include:

• CT scan of the orbits
• MRI scan of the brain and orbit