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June 1987

First Minute of Hyphema

Author Affiliations

Stanford, Calif

Arch Ophthalmol. 1987;105(6):749-750. doi:10.1001/archopht.1987.01060060035018

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To the Editor.  —I recently had the fortuitous opportunity to observe a traumatic hyphema within a minute of injury and document the time course of acute intraocular bleeding. I am unaware of any other reported case that was seen so soon after injury.

Report of a Case.  —A 25-year-old woman was struck in the face by a vigorously kicked soccer ball and immediately covered her right eye, in pain. When examined approximately one minute later, the globe showed mild but deep hyperemia, and there were two streams of blood on the surface of the iris emanating from the angle at approximately the 11- and 1-o'clock positions, causing 2 to 3 mm of hyphema. Over the next three to four minutes of observation, the appearance changed little, and the hyphema did not grossly enlarge. She was referred to the Stanford (Calif) University Medical Center.She was seen next in the eye

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