Ultrasound biomicroscopy demonstrating pupillary block in near-total hyphema: a case report and implications for surgical planning
Main Article Content
Abstract
Traumatic hyphema can induce increased intraocular pressure through various mechanisms. In this report, we provide imaging evidence of pupillary block secondary to traumatic hyphema. Ultrasound biomicroscopy may be a valuable imaging modality for assessing anterior chamber anatomy when visualization is obscured by hyphema, helping to guide the surgical approach for evacuation.
Downloads
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Bowe T, Serina A, Armstrong M, Welcher J, Adebona O, Gore C, et al. Timing of Ocular Hypertension After Pediatric Closed-Globe Traumatic Hyphema: Implications for Surveillance. Am J Ophthalmol 2022;233:135-43
Sarran RD, Zagelbaum BM, Vajaranant TS. Blunt anterior segment trauma. In: Albert and Jakobie’s Principles and Practice of Ophthalmology. Switzerland: Springer; 2021:719-34.
Soohoo JR, Davies BW, Braverman RS, Enzenauer RW, McCourt EA. Pediatric traumatic hyphema: a review of 138 consecutive cases. J AAPOS 2013;17:565-7.
Rocha KM, Martins EN, Melo LAS, Bueno De Moraes NS. Outpatient management of traumatic hyphema in children: prospective evaluation. J AAPOS 2004;8:357-61.
Parrish R, Bernardino V. Iridectomy in the surgical management of eight-ball hyphema. Arch Ophthalmol 1982;100:435-7.
Kavoussi SC, Liu J. Spontaneous hyphema and pupillary block in a patient with a left ventricular assist device. Digit J Ophthalmol 2015;21:1-9.
Bansal S, Gunasekeran DV, Ang B, et al. Controversies in the pathophysiology and management of hyphema. Surv Ophthalmol 2016;61:297-308.
Boese EA, Karr DJ, Chiang MF, Kopplin LJ. Visual acuity recovery following traumatic hyphema in a pediatric population. J AAPOS 2018;22:115-8.
Agapitos PJ, Noel L-P, Clarke WN. Traumatic hyphema in children. Ophthalmology 1987;94:1238-41.
Lee RK, Sayed MS. Anterior segment trauma. In: Mechanical Ocular Trauma: Current Consensus and Controversy. Singapore: Spinger; 2016:7-38.
Walton W, Von Hagen S, Grigorian R, Zarbin M. Management of traumatic hyphema. Surv Ophthalmol 2002;47:297-334.
Trief D, Adebona OT, Turalba AV, Shah AS. The pediatric traumatic hyphema. Int Ophthalmol Clin. 2013;53:43-57.