- Accumulation of blood within the anterior chamber.
- Frequently is the result of blunt eye trauma.
- The source of bleeding is usually a tear in the anterior face of the ciliary body.
- Intraocular pressure elevation following eye injury as a result of mechanical obstruction of the trabecular meshwork by the clotted blood
- Rarely, pupillary block from severe hyphema may occur, causing acute glaucoma.
- Prolonged unresolved hyphema
- Persistent elevation of intraocular pressure complicated with optic nerve damage
- Corneal blood staining and corneal endothelial decompensation.
- Usually supportive after ruling out other possible coexisting medical problems such as coagulopathy or Sickle cell anemia.
- Small hyphemas generally resolve in 4 to 5 days.
- Systemic antifibrinolytic agents such as aminocaproic acid is reported to prevent secondary bleeding.
- Topical or systemic glaucoma agents.
- Surgical treatment to wash out the blood in cases with intractable intraocular pressure elevation, unresolved total hyphema, corneal blood staining and sickle cell patient.