St. Luke's Hospital
Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
Find a Physician Payment Options Locations & Directions
Follow us on: facebook twitter Mobile Email Page Email Page Print Page Print Page Increase Font Size Decrease Font Size Font Size
America's 50 Best Hospitals
Meet the Doctor
Spirit of Women
Community Health Needs Assessment
Home > Health Information

Multimedia Encyclopedia

    Print-Friendly
    Bookmarks

    Hyphema

    Hyphema is blood in the front area (anterior chamber) of the eye. The blood collects behind the cornea and in front of the iris.

    Causes

    Hyphema is usually caused by trauma to the eye. Other causes of bleeding in the front chamber of the eye include:

    • Blood vessel abnormality
    • Cancer of the eye
    • Severe inflammation of the iris
    • Advanced diabetes
    • Blooddisorderssuch as sickle cell anemia

    Symptoms

    • Bleeding in the anterior chamber of the eye
    • Eye pain
    • Light sensitivity
    • Vision abnormalities

    You may not be able to see a small hyphema when looking at your eye in the mirror.With a total hyphema, the collection of blood will block the view of the iris and pupil.

    Exams and Tests

    • Eye exam
    • Intraocular pressure measurement (tonometry)
    • Ultrasound testing

    Treatment

    Treatment may not be needed in mild cases. The blood is absorbed in a few days.

    If bleeding comes back (usually in 3 - 5 days), the likely outcome ofthe condition will be much worse. The health care provider may recommend the following to cut down the chance that there will be more bleeding:

    • Bed rest
    • Eye patching
    • Sedating medicines

    You may need to use eye drops to decrease the inflammation or lower the pressure in your eye.

    The eye doctor may need to remove the blood, especially if pressure in the eye is very highthe blood is slow to absorb again. You may need to stay in a hospital.

    Outlook (Prognosis)

    The outcome depends upon the amount of injury to the eye. Patients with sickle cell disease are more likely to have eye complications and must be watched closely. People with diabetes will probably need laser treatment for the problem.

    Severe vision loss can occur.

    Possible Complications

    • Acute glaucoma
    • Impaired vision
    • Recurring bleeding

    When to Contact a Medical Professional

    Call your health care provider if you notice blood in the front of the eye or if you have an eye injury. You will to be examined and treated by an eye doctor right away, especially if you have decreased vision.

    Prevention

    Many eye injuries can be prevented by wearing safety goggles or other protective eye wear. Always wear eye protection while playing sports such as racquetball, or contact sports such as basketball.

    References

    Crouch JrER, Crouch ER, Trauma: Ruptures and Bleeding. In: Tasman W, Jaeger EA, eds. Duane’s Ophthalmology. 2012 ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2012:vol 4; chap 61.

    Fudemberg SJ, Myers JS, Katz LJ, Spaeth GL. Glaucoma Following Trauma. In: Tasman W, Jaeger EA, eds. Duane’s Ophthalmology. 2012 ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2012:vol 3; chap 54C.

    Tingey DP, Shingleton BJ. Glaucoma associated with ocular trauma. In: Yanoff M, Duker JS, eds. Ophthalmology. 3rd ed. St. Louis, Mo: Mosby Elsevier; 2008:chap 10.17.

    BACK TO TOP

    • Eye

      illustration

      • Eye

        illustration

      Tests for Hyphema

        Review Date: 11/20/2012

        Reviewed By: Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, California. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.

        The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
        adam.com

        A.D.A.M. content is best viewed in IE9 or above, Fire Fox and chrome browser.


        Back  |  Top
        About Us
        Contact Us
        History
        Mission
        Locations & Directions
        Quality Reports
        Annual Reports
        Honors & Awards
        Community Health Needs
        Assessment

        Newsroom
        Services
        Brain & Spine
        Cancer
        Heart
        Maternity
        Orthopedics
        Pulmonary
        Sleep Medicine
        Urgent Care
        Women's Services
        All Services
        Patients & Visitors
        Locations & Directions
        Find a Physician
        Tour St. Luke's
        Patient & Visitor Information
        Contact Us
        Payment Options
        Financial Assistance
        Send a Card
        Mammogram Appointments
        Health Tools
        My Personal Health
        mystlukes
        Spirit of Women
        Health Information & Tools
        Clinical Trials
        Health Risk Assessments
        Employer Programs -
        Passport to Wellness

        Classes & Events
        Classes & Events
        Spirit of Women
        Donate & Volunteer
        Giving Opportunities
        Volunteer
        Physicians & Employees
        For Physicians
        Remote Access
        Medical Residency Information
        Pharmacy Residency Information
        Physician CPOE Training
        Careers
        Careers
        St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
        Copyright © St. Luke's Hospital Website Terms and Conditions  |  Privacy Policy  |  Patient Notice of Privacy Policies PDF Sitemap St. Luke's Mobile