Which conditions should be considered in the differential diagnoses of hyphema?

Updated: Jan 18, 2019
  • Author: David L Nash, MD; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Answer

Answer

Herpes Simplex

Herpes Zoster

Juvenile Xanthogranuloma

Keratoconjunctivitis, Atopic

Melanoma, Choroidal

Melanoma, Ciliary Body

Melanoma, Iris

Retinoblastoma

Fuchs Heterochromic Uveitis [14]

Herpes Zoster Uveitis [14]

Other problems to be considered

Trauma

Intraocular surgery

Spontaneous hyphema

Iris microhemangiomas, iris varix, and pupillary microhemangiomas

Iris neovascularization

Bleeding diatheses or clotting disturbances such as idiopathic thrombocytopenic purpura (ITP) or leukemias

Following laser trabeculoplasty [15] or laser iridotomy

Anticoagulation therapy, such as warfarin (Coumadin), clopidogrel bisulfate (Plavix), or aspirin


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