A small bleed into the anterior chamber of the eye is seen as a fluid level of blood inferiorly ("hyphaema") (Figure 16.1). This is a sign of potential problems because of the risk of secondary bleeding after two or three days. This risk is especially serious in children and the complication can lead to secondary glaucoma and at worst, the loss of the eye. The parents need to be warned about this if there is a hyphaema. Treatment is by strict rest with little or no head movement to avoid further bleeding and regular measurement of the intraocular pressure.
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