Hyphema

A hyphema is bleeding inside the front of the eye, usually after an injury. It needs prompt evaluation by an ophthalmologist because it can raise eye pressure and damage vision.

Understanding Hyphema

Blood collects between the cornea and the iris, sometimes visible as a red layer at the bottom of the colored part of the eye. Most hyphemas result from blunt trauma — a ball, fist, or fall — but they can also occur with certain medical conditions or blood thinners. People with sickle cell disease or trait are at higher risk of complications.

Common symptoms

  • Visible blood in the front of the eye
  • Blurred vision
  • Eye pain and light sensitivity

When to seek care right away

Any eye injury with visible blood in the eye or reduced vision should be evaluated the same day.

Office: (423) 243-3330 · After hours, Erlanger operator: (423) 778-7000

How Dr. Nicola can help

  • Examination and monitoring of eye pressure
  • Rest, head elevation, eye shield, and medicated drops
  • Close follow-up to watch for re-bleeding and pressure spikes
  • Care for eye trauma is a particular clinical interest of Dr. Nicola

Frequently asked questions

Is hyphema the same as a bloody spot on the white of the eye?

No. A red patch on the white of the eye is usually a harmless subconjunctival hemorrhage. A hyphema is blood inside the eye, in front of the iris, and needs medical care.

This page is general patient education and is not a substitute for an examination. If you have a question about your own eyes, please call our office.