Hyphema following blunt ocular trauma generally resolves spontaneously.
Delay in resolution suggests the presence of coexisting systemic diseases.
We present the case of a 6-year-old boy with traumatic hyphema that failed
to resolve with standard treatment. Investigations revealed the presence of
a rare hereditary coagulopathy, namely, hemophilia C (factor XI deficiency).
A 6-year-old Omani boy visited our institution with blurred vision following
blunt injury to his left eye. He was otherwise healthy; in particular, there
was no history in the patient or his family of an unusual bleeding tendency.
He was the second child of consanguineous parents.
Al-Fadhil N, Pathare A, Ganesh A. Traumatic Hyphema and Factor XI Deficiency (Hemophilia C). Arch Ophthalmol. 2001;119(10):1546-1547. doi: