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Photo Essay
November 2001

Spontaneous Hyphema Secondary to Iris Vascular Tufts

Arch Ophthalmol. 2001;119(11):1728. doi:10.1001/archopht.119.11.1728

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.

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