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Spontaneous hyphema in a child Shota Yoshimi 1 , Shotaro Kosuge 1 , Yoshihiro Wada 1 , Sayaka Wada 1 , Sohei Shimasaki 1 , Junichiro Kizaki 1 , Yuta Saito 1 , Hidetoshi Onda 1 1Department of Ophthalmology, Showa University School of Medicine pp.1145-1149
Published Date 2020/9/15
DOI https://doi.org/10.11477/mf.1410213678
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Abstract Purpose:Hyphema without obvious external triggers is called spontaneous hyphema. We report a case of a child who developed hyphema without external triggers such as trauma.

Case:The patient is a 7-year-old boy. He was diagnosed with right hyphema with conjunctival injection and sudden pain of right eye, and was referred to our department. At the first visit, the visual acuity of right eye was no light perception, and the intraocular pressure of right eye was over 60 mmHg. Hyphema filled the anterior chamber, and the pupil and iris pattern were invisible. We suspected traumatic hyphema, but he had no history of trauma, and there was no possibility of child abuse. There were no abnormalities such as hemorrhagic predisposition with blood examination. We started medical treatment, but intraocular pressure did not decrease, so we had operation 3 days later. Intraocular hematoma was removed with bimanual I/A and vitreous cutter. The visual acuity of right eye improved to 1.2 after surgery, and no rebleeding or corneal staining was observed during the follow-up period of 1 year.

Conclusion:We experienced spontaneous hyphema in a child. We removed hyphema early, and he got good postoperative visual acuity without irreversible disorders.


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