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Spontaneous 8-ball hyphaema in a toddler
  1. Chloe Ann Cheang1,2,
  2. Laura Barbour1,2,
  3. Loucas Christodoulou1,2
  1. 1Paediatric Department, Imperial College Healthcare NHS Trust, London, UK
  2. 2Paediatric Department, St Mary's Hospital, London, UK
  1. Correspondence to Dr Chloe Ann Cheang, St Mary's Hospital, Praed Street, London W2 1NY, UK; cheangchloeann{at}gmail.com

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A well 2-year-old boy presented with acute-onset non-traumatic red eye (figure 1). Ophthalmology diagnosed grade 4 hyphaema. An orbital brightness ultrasound scan, clotting studies and other investigations showed no cause for the bleed. Conservative management led to the resolution and good visual acuity within a week.

Figure 1

Filling of the entire anterior chamber with blood makes it appear black with only a tiny white spot from reflected light, similar to the white area on number 8 (black) …

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