This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Vitreous Humour, Uveal Disorders, Subject name: Ophthalmology
[{'content': 'A young 23-year-old black African man presents with a hyphema in the right eye after blunt injury. All of the following are acceptable initial treatments except? \nSelect and explain. \nA. Sleep with the head elevate, B. Prednisolone steroid eye drops, C. Cyclopentolate dilating drops, D. Carbonic anhydrase inhibitor pressure drops', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Carbonic anhydrase inhibitor pressure drops - For patients with hyphema (blood in the eye) advise them to avoid straining and sleep with their heads elevated to allow the blood to settle. - Use steroids to decrease the inflammation and a medium-acting cycloplegic to dilate the eye for comfo and to keep the inflamed iris from "sticking" to the lens underneath. - If the pressure is high, you can use pressure drops, but we avoid CAIs in African Americans as it induces RBC sickling in sickle-cell patients. You can get a sickle prep if you are suspicious for this disease', 'role': 'assistant'}]