Understanding Hyphema: Causes and Treatment Options

Understanding Hyphema: Causes and Treatment Options

Hyphema is a condition characterized by the presence of blood in the anterior chamber of the eye, which is the space between the cornea and the iris. This bleeding can occur due to various factors and requires prompt attention to prevent potential complications and preserve vision.

Causes of Hyphema

  1. Trauma: The most common cause of hyphema is trauma to the eye, such as a direct blow or injury. This can happen during sports activities, accidents, or physical altercations.

  2. Eye Surgery: Certain eye surgeries, particularly those involving the anterior segment of the eye, can lead to hyphema as a complication. Examples include cataract surgery, glaucoma surgery, and corneal transplant surgery.

  3. Medical Conditions: Hyphema can also occur as a result of underlying medical conditions such as sickle cell disease, hypertension, or bleeding disorders. In some cases, it may be associated with ocular diseases like uveitis or diabetic retinopathy.

Symptoms of Hyphema

Symptoms of hyphema may vary depending on the severity of the condition but commonly include:

  • Reddish or Tinted Vision: The presence of blood in the anterior chamber can cause the vision to appear reddish or tinted.
  • Eye Pain: Patients may experience eye pain or discomfort, especially if the bleeding is associated with trauma.
  • Decreased Vision: Hyphema can lead to a temporary decrease in vision, particularly if the blood obstructs the visual axis.
  • Increased Intraocular Pressure (IOP): In some cases, hyphema may be accompanied by elevated intraocular pressure, which can cause further complications.

Treatment Options

  1. Rest and Observation: In mild cases of hyphema, the primary treatment involves rest and observation. Patients may be advised to avoid strenuous activities and to keep the head elevated to reduce the risk of rebleeding.

  2. Medications: Topical medications such as corticosteroids or cycloplegics may be prescribed to reduce inflammation and pain associated with hyphema. These medications help alleviate symptoms and promote healing.

  3. Surgical Intervention: In cases of severe or recurrent hyphema, surgical intervention may be necessary. Procedures such as anterior chamber washout or clot evacuation may be performed to remove the accumulated blood and reduce intraocular pressure.

  4. Preventive Measures: Patients with a history of hyphema or at risk of eye injuries should take preventive measures to minimize the risk of recurrence. This includes wearing protective eyewear during sports activities and avoiding situations where eye trauma is likely to occur.

Importance of Seeking Medical Care

Hyphema is a potentially serious eye condition that requires immediate evaluation by an eye care professional. Untreated hyphema can lead to complications such as secondary glaucoma, corneal staining, or permanent vision loss. Therefore, individuals experiencing symptoms of hyphema should seek prompt medical attention to receive appropriate diagnosis and treatment.


In summary, hyphema is a condition characterized by bleeding in the anterior chamber of the eye, often resulting from trauma, eye surgery, or underlying medical conditions. Prompt evaluation and treatment by an eye care specialist are essential to prevent complications and preserve vision. If you experience symptoms of hyphema, contact our eye clinic Peachtree Ophthalmology located in Norcross, for an appointment. Call us

How To Contact Us

Our eye clinic is ideally located close to the intersection of Holcomb Bridge Rd and Spalding Dr. Serving Norcross GA, Duluth, Sandy Springs, Roswell & Johns Creek.


4045 Wetherburn Way, Ste 1
Peachtree Corners, GA 30092

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Office Hours

Mon - Fri: 8:00 a.m. to 5:00 p.m.
Sat & Sun: Closed

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