University of Iowa Health Care

Ophthalmology and Visual Sciences

Corneal Blood Staining

This 11 year-old was struck by a twig in the right eye. He had a partial thickness corneal laceration and a 1.8 mm hyphema with an intraocular pressure of 18 mmHg and 20/250 vision. Four days later he developed the flu with violent vomiting. When he was seen he had light perception vision with a 100% hyphema. He underwent anterior chamber washout with a trabeculectomy. This was repeated with an iridectomy a week later. Ten days after his severe rebleed he was noted to have corneal blood staining. The video follows the course of the resolution of his blood staining over the course of 14 months. He eventually underwent cataract extraction with IOL placement and had 20/25 vision.