Blood inside the Eye (Hyphema)

What is a hyphema?

A hyphema is blood in the front section of the eye (anterior chamber). The blood can block the pupil and cause decreased vision and light sensitivity. In addition, the blood can sometimes prevent the normal fluid inside of the eye from exiting. This can cause pressure inside the eye to increase. 

What are the causes of a hyphema?

  • Eye Trauma: A direct hit to the eye is the most common cause of a hyphema
  • Iris Lesions: In rare cases, nodules or lesions on the colored part of the eye can bleed leading to a hyphema

What are the symptoms?

  • Decreased or blurry vision
  • Eye pain
  • Eye redness
  • Light sensitivity

How is a hyphema diagnosed?

A hyphema is typically diagnosed following a complete history and eye examination can help a pediatric ophthalmologist diagnose a hyphema.

What is the treatment for a hyphema?

  • Eye drops - steroids and dilating medications may be prescribed by your physician.
  • Bedrest - especially in cases of trauma, your physician may recommend strict bedrest in order to prevent additional bleeding.
  • Surgery - in rare cases, surgery is needed to remove the blood from the eye.