DOI: 10.4103/ijo.ijo_1_26 ISSN: 2772-3070
Recurrent spontaneous hyphema caused by iris microhemangioma
Robert T Hashimoto, Sara Fard, Ahmad KheirkhahA 64-year-old man presented with an acute spontaneous hyphema of his left eye. After resolution, an iris microhemangioma was noted at the pupillary margin. Nineteen months later, he experienced multiple rebleeding events over a 1-week period along with increased intraocular pressure. Therefore, he underwent argon laser photocoagulation of the vascular tuft. Only five spots (200 mW/0.1 s) were required to cause complete coagulation of the tuft. No recurrence of bleeding occurred during 2 years of follow-up. Thus, iris microhemangioma should be considered in patients with spontaneous hyphema. Argon laser photocoagulation is a safe and effective treatment for these vascular tufts.