Hyphema is called the hemorrhage at the anterior chamber of the eye (the gap between cornea and iris). It is caused when blood vessels bleed on the iris and leak into the transparent aqueous humor.

Hyphema is characterized by blood concentration on the anterior chamber that is obvious at the eye. The red cells are visible only with magnification. Even the small amount of blood in the anterior chamber can cause vision loss, when is mixed with aqueous humor.

Bleeding in the anterior chamber is often caused by a sudden eye hit. It may also be associated with eye surgery. Other causes may be the abnormal vessel development in the eye and some ocular tumors.


Hyphema Hyphema


Hyphema symptoms

• Vision reduction (depending on the amount of blood in the eye, vision may be reduced to counting fingers or light perception)
• Blood concentration in the anterior chamber
• High intraocular pressure (in some cases)

Hyphema diagnosis

A very important key to diagnosis is to determine the cause of the hyphema. If the hyphema is associated with ocular trauma, any information about the wound and what happened is useful.

The ophthalmologist will evaluate the visual acuity, will measure the intraocular pressure and examine your eye on the slit lamp and with an ophthalmoscope.

Hyphema treatment

The treatment of hyphema depends on the cause and the severity of the condition. Often, the blood is absorbed in a few days or weeks. During this time, the ophthalmologist will carefully measure the intraocular pressure, will examine your eye for any blood remnants, which impede the normal flow of the aqueous humor at the anterior chamber. If the intraocular pressure is elevated, then eye drops can be prescribed for its regulation. Furthermore, the doctor may evaluate your pupils, in order to exclude the possibility of iris destruction by hyphema.

In some cases, a special technique is performed for blood removal from the anterior chamber, in order to prevent secondary complications, such as glaucoma and corneal infusion with blood.

Patients with hyphema are advised to rest and avoid laborious activities, so as to allow the better absorption of blood.

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Opthalmology Health Center


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