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Gradual spontaneous resolution of corneal bloodstaining after anterior chamber irrigation for rebleeding secondary to traumatic hyphema

Authors Lin HY, Peng KL

Received 13 June 2018

Accepted for publication 28 July 2018

Published 25 September 2018 Volume 2018:11 Pages 239—242

DOI https://doi.org/10.2147/IMCRJ.S177049

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Andrew Yee

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Hsin-Ying Lin, Kai-Ling Peng

Department of Ophthalmology, Chi Mei Medical Center, Tainan, Taiwan

Abstract: Corneal bloodstaining, which is brown or dark yellow in color, is induced by hemoglobin deposition, and its breakdown products extend into the corneal stroma. In this article, we report a rare case of corneal bloodstaining induced by total hyphema after rebleeding for traumatic hyphema. The patient underwent irrigation of the anterior chamber (AC) and cataract surgery of the right eye after trauma. After oral and topical treatment the imprint of corneal bloodstaining faded, and it nearly disappeared after the procedures. Corneal bloodstaining is undoubtedly a vision-threatening complication of total hyphema after ocular trauma, surgical intervention, and even rebleeding. Removal of the total hyphema as soon as possible decreases the severity of corneal bloodstaining, shortens the course of spontaneous healing, and thus improves vision.

Keywords: corneal bloodstaining, total hyphema, traumatic hyphema, rebleeding, corneal imprint

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