What is the initial treatment for hyphema related to torn blood vessels in the eye?

The initial treatment for hyphema, particularly when it results from torn blood vessels in the eye, focuses on alleviating symptoms and preventing further injury or complications. Using analgesics helps manage pain associated with the condition, which can be significant due to the nature of the injury. An eye patch is employed to protect the eye, preventing movements that may exacerbate the bleeding or cause additional damage. This protective measure also assists in providing a calm environment conducive to healing.

While topical antibiotics could be useful in cases where there is a risk of infection, they are not the primary focus in the acute management of hyphema. Anticoagulants would be contraindicated since the goal is to minimize bleeding rather than promote it. Antihypertensives are not relevant to the management of hyphema as they do not directly affect the acute treatment of blood vessel injuries in the eye.

Therefore, focusing on pain relief and protection with analgesics and an eye patch constitutes a prudent initial approach to treating hyphema secondary to torn blood vessels.