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