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A 45-year-old man with spontaneous hyphema of the right eye
Digital Journal of Ophthalmology 2017
Volume 23, Number 3
August 9, 2017
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Jay C. Wang, MD | Department of Ophthalmology, Massachusetts Eye and Ear, Boston, Massachusetts
Maggie B. Hymowitz, MD | Department of Ophthalmology, Massachusetts Eye and Ear, Boston, Massachusetts
Ancillary Testing
Laboratory results revealed positive HLA-B27 and HLA-B7 and slightly elevated complement C3c. Polymerase chain reaction (PCR) tests for cytolomegalovirus, Epstein-Barr virus, Herpes simplex virus (HSV-1), and varicella zoster virus from an anterior chamber tap were negative. All other tests were negative, including Lyme serologies, rheumatoid factor, HSV-1 IgM, anti-neutrophil cytoplasmic antibody, anti-nuclear antibody, complement C4, toxoplasma IgG, anti–cyclic citrullinated peptide IgG, angiotensin converting enzyme, lysozyme, rapid plasma reagin (RPR), and fluorescent treponemal antibody absorbent (FTA-ABS). Basic bloodwork did not reveal an anticoagulated state. Fluorescein and indocyanine green angiography did not reveal any signs of retinal ischemia, vasculitis, or choroidal pathology.
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