University of Iowa Health Care

Ophthalmology and Visual Sciences

gonioscopy.org

Hyphema (slit lamp only)

This 15 year-old African-American male is had undergone fine needle aspiration for a lesion that was ultimately determined to be an adenoma of the non-pigmented epithelium of the ciliary body (see his pre-hemorrhage clip under the "Tumor" clips). The patient family denied a sickle cell history but later admitted that the patients uncle died from sickle cell disease. The patient bled at the time of surgery and developed a large hyphema requiring anterior chamber washout and trabeculectomy.