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February 1979

Spontaneous Hyphema Secondary to Vascular Tuft of Pupillary Margin of the Iris

Author Affiliations

From the Department of Ophthalmology, Edward S. Harkness Eye Institute, New York.

Arch Ophthalmol. 1979;97(2):301-302. doi:10.1001/archopht.1979.01020010153012

• A patient had vascular tufts of the pupillary margins of both eyes that gave rise to a spontaneous hyphema in one eye. During a four-year follow-up without treatment, there was no recurrence of the hyphema. Iris fluorescein angiography showed the vascular tufts to be more numerous than was apparent on slit-lamp biomicroscopy. Patients with vascular tufts of the pupillary margins are usually asymptomatic. If hyphema does occur in such a patient, recurrence is unlikely. Treatment may be reserved for recurrent hyphema.

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