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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. 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}

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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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