Article Text

Download PDFPDF
Spontaneous 8-ball hyphaema in a toddler
  1. Chloe Ann Cheang1,2,
  2. Laura Barbour1,2,
  3. Loucas Christodoulou1,2
  1. 1 Paediatric Department, Imperial College Healthcare NHS Trust, London, UK
  2. 2 Paediatric 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}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

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) …

View Full Text


  • Contributors CAC: Came up with the idea for the article, performed a literature search and wrote the sections regarding aetiology, management and complications of the condition. Obtained written consent from the patient's guardian. Reviewed and made appropriate changes in resubmitted manuscript. LB: Identified and managed the case, wrote the section regarding the presentation of the case. LC: Came up with the idea for the publication, was supervisor for the process and proof-read the manuscript before submission. Reviewed and made appropriate changes in resubmitted manuscript.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.