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Hyphema

Updated: 9/7/2023
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13y ago

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Definition

Hyphema is blood in the front area of the eye.

Causes, incidence, and risk factors

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
SymptomsSigns and testsTreatment

In some mild cases, no treatment is needed. The blood is absorbed in a few days.

The health care provider may recommend bed rest, eye patching, and sedation to reduce the likelihood of recurrent bleeding.

Eye drops to decrease the inflammation or lower the intraocular pressure may be used if needed.

The ophthalmologist may need to remove the blood, especially if the intraocular pressure is severely increased or the blood is slow to absorb again. You may need to stay in a hospital.

Expectations (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 monitored more carefully.

Severe vision loss can occur.

ComplicationsCalling your health care provider

Call your health care provider if you notice blood in the front of the eye or you have a traumatic eye injury. You will need prompt diagnosis and treatment by an ophthalmologist.

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

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.

Reviewed By

Review Date: 11/08/2010

Daniel E. Bustos, MD, MS, Private Practice specializing in Comprehensive Ophthalmology in Eugene, OR. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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12y ago
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Wiki User

13y ago
Definition

Hyphema is blood in the front area of the eye.

Causes, incidence, and risk factors

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
SymptomsSigns and testsTreatment

In some mild cases, no treatment is needed. The blood is absorbed in a few days.

The health care provider may recommend bed rest, eye patching, and sedation to reduce the likelihood of recurrent bleeding.

Eye drops to decrease the inflammation or lower the intraocular pressure may be used if needed.

The ophthalmologist may need to remove the blood, especially if the intraocular pressure is severely increased or the blood is slow to absorb again. You may need to stay in a hospital.

Expectations (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 monitored more carefully.

Severe vision loss can occur.

ComplicationsCalling your health care provider

Call your health care provider if you notice blood in the front of the eye or you have a traumatic eye injury. You will need prompt diagnosis and treatment by an ophthalmologist.

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

Brunette DD. Ophthalmology. In: Marx J, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. Philadelphia, Pa: Mosby Elsevier; 2006: chap 70.

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8y ago

Hyphema is an accumulation of blood in the front (anterior) chamber of the eye. It is usually caused by blunt eye trauma.

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Related questions

What is accumalation of blood in posterior chamber of eye?

Hyphema


What causes hyphema?

Hyphema is caused by blunt, projectile, or explosion (about 4% of cases) injuries. These injuries cause a local blood vessel in the eye to tear, filling the front portion of the AC with blood.


What is the Medical term meaning blood in the eye?

blood shot hyphema is a mecical term for blood in the eyeball itself...


A client arrives at the emergency room with trauma to the eye and hyphema is diagnosed the nurse immediately positions the client in which position?

Elevate the head of the bed.


What is the CPT code for irrigation and aspiration of hyphema and blood clot anterior chamber right eye?

65815 FOR THE IRRIGATION AND ASPIRATION 66020-66030 FOR THE INJECTION 65930 FOR THE BLOOD CLOT REMOVAL


What is an 8 ball?

The 8-Ball Fracture is another name for Hyphema, which results from blunt injury that causes one or both eyes to bleed into the anterior chamber. This can partially or fully blind that eye, but often doesn't require any medical treatment.


What is an 8 ball fracture?

The 8-Ball Fracture is another name for Hyphema, which results from blunt injury that causes one or both eyes to bleed into the anterior chamber. This can partially or fully blind that eye, but often doesn't require any medical treatment.


Can people get the same eyes as 2D's from Gorillaz if so how?

It is not possible to get the exact same condition. However, there is a similiar way. A blood vessel in the eye can burst due to a blow to head. This will cause blood to fill in the area infront of the pupil. This is a condition called hyphema. Granted it is not and 8-ball fracture.


What are risks of tube-shunt surgery?

hyphema (blood clots in the anterior chamber of the eye), hypotony, tube obstruction, suture rupture with wound leakage, movement of the implanted plate, corneal edema, and detachment of the retina


Can your eyeball bleed?

If you have blood in your eye it is called subconjunctival hemorrhage. It is basically a broken blood vessel in your eye. This is usually a harmless condition that will go away on its own in a week or two.


What is the Difference between bruises and black-eyes?

Bruises...A bruise, also called a contusion, is a injury caused by a serious impact but does not rupture the skin It is a form of internal bleeding, the purple, green, blue or whatever color your bruise is, is from the blood cells gathering under your skin in that injured area to fix the problem and stop the internal injury.A black eye is just a kind of bruising around the eye commonly due to an injury to the face rather than an eye injury. The name is given due to the color of bruising. The so-called black eye is caused by bleeding beneath the skin and around the eye. Sometimes a black eye indicates a more extensive injury, even a skull fracture, particularly if the area around both eyes is bruised (raccoon eyes) or if there has been a head injury.Although most black eye injuries aren't serious, bleeding within the eye, called a hyphema, is serious and can reduce vision and damage the cornea.


Eye emergencies?

DefinitionEye emergencies include cuts, scratches, objects in the eye, burns, chemical exposure, and blunt injuries to the eye or eyelid. Since the eye is easily damaged, any of these conditions can lead to vision loss if left untreated.ConsiderationsIt is important to get medical attention for all significant eye or eyelid injuries and problems. An injury to the eyelid may be a sign of severe injury to the eye itself. Many eye problems (such as a painful red eye) that are not due to injury still need urgent medical attention.A chemical injury to the eye can be caused by a work-related accident or by common household products, such as cleaning solutions, garden chemicals, solvents, or many other types of chemicals. Fumes and aerosols can also cause chemical burns.With acid burns, the haze on the cornea often clears with a good chance of recovery. However, alkaline substances -- such as lime, lye, commercial drain cleaners, and sodium hydroxide found in refrigeration equipment -- may cause permanent damage to the cornea. Ongoing damage may occur in spite of prompt treatment. It is important to flush the eye with clean water or saline while seeking urgent medical care.Dust, sand, and other debris can easily enter the eye. Persistent pain and redness indicate that professional treatment is needed. A foreign body may threaten your vision if the object enters the eye itself or damages the cornea or lens. Foreign bodies propelled at high speed by machining, grinding, or hammering metal on metal present the highest risk.A black eye is usually caused by direct trauma to the eye or face. Certain types of skull fractures can result in bruising around the eyes, even without direct trauma to the eye. The bruise is caused by bleeding under the skin. The tissue surrounding the eye turns black and blue, gradually becoming purple, green, and yellow over several days. The abnormal coloring disappears within 2 weeks. Usually, swelling of the eyelid and tissue around the eye also occurs.Occasionally, serious damage to the eye itself occurs from the pressure of the swollen tissue. Bleeding inside the eye can reduce vision, cause glaucoma, or damage the cornea.CausesBlow to the eyeChemical injuryConjunctivitisCorneal abrasionEyelid and eye cutsForeign object in the eyeGlaucomaHead injuryIritisOrbital cellulitisSymptomsBleeding or other discharge from or around the eyeBruisingDecreased visionDouble visionEye painHeadacheItchy eyesLoss of visionPupils of unequal sizeRedness -- bloodshot appearanceSensation of something in the eyeSensitivity to lightStinging or burning in the eyeFirst AidTake prompt action and follow the steps below if you or someone else has an eye-related injury.SMALL OBJECT ON THE EYE OR EYELIDThe eye will often clear itself of tiny objects, like eyelashes and sand, through blinking and tearing. If not, take these steps:Tell the person not to rub the eye. Wash your hands before examining it.Examine the eye in a well-lighted area. To find the object, have the person look up and down, then side to side.If you can't find the object, grasp the lower eyelid and gently pull down on it to look under the lower eyelid. To look under the upper lid, you can place a cotton-tipped swab on the outside of the upper lid and gently flip the lid over the cotton swab.If the object is on an eyelid, try to gently flush it out with water. If that does not work, try touching a second cotton-tipped swab to the object to remove it.If the object is on the eye, try gently rinsing the eye with water. It may help to use an eye dropper positioned above the outer corner of the eye. DO NOT touch the eye itself with the cotton swab.A scratchy feeling or other minor discomfort may continue after removing eyelashes and other tiny objects. This will go away within a day or two. If the person continues to have discomfort or blurred vision, get medical help.OBJECT STUCK OR EMBEDDED IN EYELeave the object in place. DO NOT try to remove the object. DO NOT touch it or apply any pressure to it.Calm and reassure the person.Wash your hands.Bandage both eyes. If the object is large, place a paper cup or cone over the injured eye and tape it in place. Cover the uninjured eye with gauze or a clean cloth. If the object is small, cover both eyes with a clean cloth or sterile dressing. Even if only one eye is affected, covering both eyes will help prevent eye movement.Get medical help immediately.CHEMICALS IN THE EYEFlush with cool tap water immediately. Turn the person's head so the injured eye is down and to the side. Holding the eyelid open, allow running water from the faucet to flush the eye for 15 minutes.If both eyes are affected, or if the chemicals are also on other parts of the body, have the victim take a shower.If the person is wearing contact lenses and the lenses did not flush out from the running water, have the person try to remove the contacts AFTER the flushing procedure.Continue to flush the eye with clean water or saline while seeking urgent medical attention.After following the above instructions, seek medical help immediately.EYE CUTS, SCRATCHES, OR BLOWSIf the eyeball has been injured, get medical help immediately.Gently apply cold compresses to reduce swelling and help stop any bleeding. DO NOT apply pressure to control bleeding.If blood is pooling in the eye, cover both of the person's eyes with a clean cloth or sterile dressing, and get medical help.EYELID CUTSCarefully wash the eye. Apply a thick layer of bacitracin, mupirocin, or other antibacterial ointment on the eyelid. Place a patch over the eye. Seek medical help immediately.If the cut is bleeding, apply gentle pressure with a clean, dry cloth until the bleeding subsides.Rinse with water, cover with a clean dressing, and place a cold compress on the dressing to reduce pain and swelling.Do NotDO NOT press or rub an injured eye.DO NOT remove contact lenses unless rapid swelling is occurring, there is a chemical injury and the contacts did not come out with the water flush, or you cannot get prompt medical help.DO NOT attempt to remove a foreign body that appears to be embedded in any part of the eye. Get medical help immediately.DO NOT use cotton swabs, tweezers, or anything else on the eye itself. Cotton swabs should only be used on the eyelid.DO NOT attempt to remove an embedded object.Call immediately for emergency medical assistance ifSeek emergency medical care if:There appears to be any visible scratch, cut, or penetration of the eyeballAny chemical gets into the eyeThe eye is painful and redNausea or headache accompany the eye painThere is any change in vision (such as blurred or double vision)There is uncontrollable bleedingPreventionSupervise children carefully. Teach them how to be safe.Always wear protective eye wear when using power tools, hammers, or other striking tools.Always wear protective eye wear when working with toxic chemicals.ReferencesYanoff, M, Duker, JS and Augsburger, JJ, et al. Ophthalmology. 2nd ed. St. Louis, Mo: Elsevier; 2004:1391-1396.Mitchell JD. Ocular emergencies. In: Tintinalli JE, Kelen GD, Stapczynski JS, et al, eds. Emergency Medicine: A Comprehensive Study Guide. 6th ed. Columbus, OH:McGraw-Hill;2006:chap 238.