Three cases of congenital bilateral hyphemia were discovered on routine examination, which was requested because petechiae were on the faces of the patients and there were conjunctival hemorrhages. The fundi were not visible in any of the six eyes, and slitlamp examination revealed the presence of fibrin and minute clots of blood in the anterior chamber. The mothers of all three patients had normal pregnancies and labor, and the deliveries were spontaneous.
In newborns in whom the ocular fundus is not clearly visible, slitlamp examination should be performed to exclude the possibility of congenital hyphemia, even in the absence of direct trauma to the eye.
Friedman Z, Neumann E. Congenital Hyphemia. Arch Ophthalmol. 1973;90(5):405-406. doi:10.1001/archopht.1973.01000050407017