Case of Spontaneous Total Hyphema – A Diagnostic Dilemma

Abstract

  Anterior chamber (AC) haemorrhage is usually associated with ocular trauma. Spontaneous hyphema is relatively uncommon and it may occur from rubeosis iridis, rarely with iris melanoma, retinoblastoma, juvenile xanthogranuloma, metastatic lesions , myotonic dystrophy, herpes zoster keratouveitis and anterior chamber Intra ocular Lens( IOL) . It has also been noted in association with leukemia , haemophilia, von Willebrand disease, sickle cell anemia, malignant lymphoma and in association with the use of substances that alter platelet or thrombin function. We report a case of spontaneous total hyphema in an elderly patient, which created lot of diagnostic difficulties.