A 79-YEAR-OLD man was seen by us with sudden onset of unilateral ocular
pain and redness earlier the same day. Vision in the affected eye had been
blurred in the morning but had progressively cleared throughout the day. There
was no history of trauma and no significant medical history.
On examination, visual acuity was 6/12 corrected in the affected eye
and 6/6 in the other eye. Biomicroscopic examination revealed a 1-mm hyphema,
intraocular pressure of 31 mm Hg, and nodular structures on the pupillary
margin (Figure 1). A small bleed
from one of these lesions was observed. The fellow eye showed similar iris
lesions but no hyphema and normal intraocular pressure. The results of funduscopy
were normal in both eyes.
Dahlmann AH, Benson MT. Spontaneous Hyphema Secondary to Iris Vascular Tufts. Arch Ophthalmol. 2001;119(11):1728. doi:10.1001/archopht.119.11.1728