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Spontaneous hyphaema in childhood
I A Murdoch1, R Dos Anjos, J M Parsons
1Department of Paediatrics, Guy's Hospital, London, United Kingdom.
Insights
Spontaneous hyphaema in children can stem from various causes, including sickle cell disease and leukemia. One case was diagnosed as juvenile xanthogranuloma after specialized eye examination.
Area of Science:
- Ophthalmology
- Pediatrics
- Hematology
Background:
- Spontaneous hyphaema, or blood in the anterior eye chamber, is uncommon in children.
- Identifying the underlying cause is crucial for appropriate management and prognosis.
Abstract:
Between January 1987 and September 1989 three children presented to the childrens' casualty department with spontaneous hyphaema. Physical examination and haematological investigations were sufficient to determine their cause in two cases (sickle cell disease and acute lymphoblastic leukaemia). In the third child an ophthalmological examination under general anaesthesia revealed a granulomatous lesion of the iris consistent with the diagnosis of juvenile xanthogranuloma.