Skip to main content
PMC home page
The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 1987 Dec;71(12):933–937. doi: 10.1136/bjo.71.12.933

Spontaneous hyphaema and corneal haemorrhage as complications of microbial keratitis.

L D Ormerod 1, K M Egan 1
PMCID: PMC1041348  PMID: 3427003

Abstract

Hyphaema developed spontaneously in 16 of 458 patients with microbial keratitis treated at two centres on the East and West Coasts of the United States. Chronic corneal conditions were often present, and three cases had rubeosis iridis. Inflamed iris vessels were assumed to be the source of the haemorrhage. The hyphaemas tended to persist longer than is usual, particularly when coincident with a hypopyon. Recurrent hyphaemas are reported in two patients from outside this series. Spontaneous corneal haemorrhage was seen in three cases. Subepithelial bleeding settled rapidly, but a combined midstromal and pre-Descemet's haematoma cleared more slowly. Anterior segment bleeding was significantly associated with advanced age, female sex, infection with Gram-positive organisms, and hypopyon.

Full text

PDF
937

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bárdy K. Beitrag zum tiefen Hornhauthämatom. Klin Monbl Augenheilkd. 1965;147(6):838–848. [PubMed] [Google Scholar]
  2. Coleman S. L., Green W. R., Patz A. Vascular tufts of pupillary margin of iris. Am J Ophthalmol. 1977 Jun;83(6):881–883. doi: 10.1016/0002-9394(77)90919-9. [DOI] [PubMed] [Google Scholar]
  3. Fraser D. J., Jr, Font R. L. Ocular inflammation and hemorrhage as initial manifestations of uveal malignant melanoma. Incidence and prognosis. Arch Ophthalmol. 1979 Jul;97(7):1311–1314. doi: 10.1001/archopht.1979.01020020053012. [DOI] [PubMed] [Google Scholar]
  4. Gartner S., Henkind P. Neovascularization of the iris (rubeosis iridis). Surv Ophthalmol. 1978 Mar-Apr;22(5):291–312. doi: 10.1016/0039-6257(78)90175-3. [DOI] [PubMed] [Google Scholar]
  5. HOWARD G. M. Spontaneous hyphema in infancy and childhood. Arch Ophthalmol. 1962 Nov;68:615–620. doi: 10.1001/archopht.1962.00960030619008. [DOI] [PubMed] [Google Scholar]
  6. Hurwitz B. S. Spontaneous intracorneal hemorrhage caused by aphakic contact lens wear. Ann Ophthalmol. 1981 Jan;13(1):57–59. [PubMed] [Google Scholar]
  7. Johnston S. S., Ware C. F. Iris involvement in leukaemia. Br J Ophthalmol. 1973 May;57(5):320–324. doi: 10.1136/bjo.57.5.320. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Kageler W. V., Moake J. L., Garcia C. A. Spontaneous hyphema associated with ingestion of aspirin and ethanol. Am J Ophthalmol. 1976 Oct;82(4):631–634. doi: 10.1016/0002-9394(76)90553-5. [DOI] [PubMed] [Google Scholar]
  9. Kinder R. S., Cowett R. M. Hyphema in infancy and childhood: a brief review and report of an unusual case. J Pediatr Ophthalmol. 1976 May;13(3):139–140. [PubMed] [Google Scholar]
  10. Liesegang T. J. Clinical features and prognosis in Fuchs' uveitis syndrome. Arch Ophthalmol. 1982 Oct;100(10):1622–1626. doi: 10.1001/archopht.1982.01030040600009. [DOI] [PubMed] [Google Scholar]
  11. Magauran D. M. Unilateral spontaneous hyphaema. Br J Ophthalmol. 1973 Dec;57(12):945–947. doi: 10.1136/bjo.57.12.945. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Muenzler W. S. Intracorneal hemorrhage. Am J Ophthalmol. 1973 Oct;76(4):440–443. doi: 10.1016/0002-9394(73)90727-7. [DOI] [PubMed] [Google Scholar]
  13. Renardel de Lavalette J. G., van Rij G. Intracorneal haemorrhage. Doc Ophthalmol. 1982 Jan 29;52(3-4):397–403. doi: 10.1007/BF01675871. [DOI] [PubMed] [Google Scholar]
  14. Schiff F. S. Coumadin related spontaneous hyphemas in patients with iris fixated pseudophakos. Ophthalmic Surg. 1985 Mar;16(3):172–173. [PubMed] [Google Scholar]
  15. Watzke R. C. Intraocular hemorrhage from vascularization of the cataract incision. Ophthalmology. 1980 Jan;87(1):19–23. doi: 10.1016/s0161-6420(80)35285-8. [DOI] [PubMed] [Google Scholar]
  16. Welch R. B. Spontaneous anterior chamber hemorrhage from the iris: a unique cinematographic documentation. Trans Am Ophthalmol Soc. 1980;78:132–147. [PMC free article] [PubMed] [Google Scholar]
  17. Yoshimura M., Sameshima M., Fujita S., Ohba N. Blood staining of the cornea in Hansen's disease. A light- and electron-microscopic study. Ophthalmologica. 1980;181(6):314–319. doi: 10.1159/000309069. [DOI] [PubMed] [Google Scholar]

Articles from The British Journal of Ophthalmology are provided here courtesy of BMJ Publishing Group

RESOURCES