title: Three Cases of Spontaneous Hyphaema.
abstract: BackgroundSpontaneous anterior chamber bleeding is a rare event. We present three photodocumented cases treated in our clinic.History and FindingsThree patients sought medical assistance in our clinic because of bleeding inside the eye and/or visual impairment. None of them had a history of trauma or intraocular surgery.Treatment and OutcomeTwo patients had oral anticoagulation, which was discontinued. These cases were treated with topical steroids. The third patient had no anticoagulation and no topical steroids were used in treatment. Topical intraocular pressure-lowering drugs were administered as needed. In all three cases, the anterior chamber bleeding stopped spontaneously. No intervention was required. Even after resolution of the bleeding, there were no signs of iris abnormalities.ConclusionsIn cases of spontaneous anterior chamber bleeding without a history of trauma, oral anticoagulation, hypertension and iris abnormalities such as microaneurysm, pseudoexfoliation, iridocyclitis or neovascularisation have to be considered.
authors.affiliation: Cantonal Hospital Winterthur, Department of Ophthalmology, Winterthur, Switzerland, Chair: J. Stürmer.
authors.forename: P
authors.initials: P
authors.lastname: Bauer
authors.affiliation: Cantonal Hospital Winterthur, Department of Ophthalmology, Winterthur, Switzerland, Chair: J. Stürmer.
authors.forename: P B
authors.initials: PB
authors.lastname: Henrich
authors.affiliation: Cantonal Hospital Winterthur, Department of Ophthalmology, Winterthur, Switzerland, Chair: J. Stürmer.
authors.forename: J
authors.initials: J
authors.lastname: Stürmer
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects; D000959:Antihypertensive Agents / Q000008:administration & dosage*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006988:Hyphema / Q000139:chemically induced / Q000175:diagnosis* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants; D000959:Antihypertensive Agents