Trauma causes blood in the anterior chamber of the eye (between the cornea and the iris). The blood may cover part or all of the iris (the colored part of the eye) and the pupil, and may partly or totally block vision in that eye.
- Hyphemas often occur after a blunt or penetrating trauma
- If there is trauma you need to make sure there is no other type of injury – skull fracture, orbital fracture, etc. etc.
Orbital CT (if indicated)
- Ophthalmology consult
Frequently blood is reabsorbed over a period of days to weeks. Treatment includes rest with the head of the bed at 30 degrees all the time
- May use topical beta-adrenergic blockers or carbonic anhydrase inhibitors
- NSAIDs are contraindicated as they may lead to increased bleeding into the anterior chamber
- Surgery if high pressure or persistent bleeding
Retinal detachment may occur from trauma but not from a hyphema.
Cataracts may be caused by increasing age (most commonly), toxins, systemic disease, smoking, and hereditary, but not by hyphemas.
Chronic conjunctivitis is not known to be associated with hyphemas.