A hyphema is pooling or collection of blood inside the anterior chamber of the eye (the space between the cornea and the iris). If left untreated the hyphema may cause vision loss. The present article summarizes the important clinical aspects of hyphema. A hyphema happens when an injury causes a tear to the iris or pupil of the eye. A microhyphema defines the discrete red blood cells in the anterior chamber that do not form an outer gross fluid level.

Etiology: Primary: Intraocular surgery, blunt trauma, and lacerating trauma Spontaneous: Retinoblastoma, Neovascularization, Uvea inflammation, Juvenile xanthogranuloma. Other medical conditions: Myotonic dystrophy, leukemia, hemophilia, rubeosis iridis and other genetic conditions. Medications: Aspirin, warfarin, and alcohol drinking. Pathophysiology: Blunt force to the eyeball increases intraocular pressure, equatorial stretching of the…