Total Hyphema

A 79-year-old female with no history of trauma presents to the Bascom Palmer Emergency room with one day of sudden decreased vision and pain in the right eye. One day prior, the patient underwent argon laser trabeculoplasty in the right eye for treatment of mild primary open angle glaucoma at an outside facility. The patient was initially treated with topical drops; however, she returned to clinic seven days later with worsening intraocular pressure, an 8-ball hyphema, and concerns for re-bleed. The following day, she underwent a trabeculectomy, anterior chamber wash-out, and iridectomy with marked improvement in her vision and pressure in the right eye. Here, we describe the background, pathophysiology, and treatment modalities of hyphema. 

Presentation Date: 01/23/2020

Issue Date: 08/01/2020