The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.



Spontaneous hyphaema

Photo by Professor Chua Chung Nen

This 62 year-old woman presented with a one-year history of blurred vision and pain in her left eye. The vision was hand movement but no relative pupillary defect. The slit-lamp examination showed hyphaema and raised intraocular pressure measuring 50 mmHg. No iris new vessels were seen. The patient was previously well and on no medications. She denied any ocular trauma. She was treated with oral acetazolamide, mydriatic and topical steroid. The intraocular pressure was controlled. The hyphaema improved over the next few days but no obvious cause of the bleeding was found.



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