Spontaneous microscopic hyphema secondary to iris vascular tufts: Case report with video documentation

Blanco, Nicolás A.; Tello, Alejandro; Galvis, Virgilio; Acuña, María; Pedraza-Concha, Angelica

doi:10.4103/ijo.ijo_1200_19

Cited by 3 publications

(6 citation statements)

References 7 publications

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“…Spontaneous hyphema can be a rare sequela of IVT. The most common presenting complaint is sudden blurring of vision [2,6,8,13,14,[18][19][20][21][22][23][24][25][26][27][28]38]. However, they can also present as eye pain, discomfort, sudden loss/deterioration of vision, or "blood in the eye" [5,12,[29][30][31].…”

Section: Discussionmentioning

confidence: 99%

“…These articles reiterate that conservative management is recommended initially, the importance of controlling IOP and blood pressure and that ALP should be reserved for recurrent hyphemas. Blanco et al (2019) provided rare video documentation of the course of this condition. They utilized repeat digital compression of the superior eyelid as part of conservative management [19].…”

Section: Discussionmentioning

confidence: 99%

“…Blanco et al (2019) provided rare video documentation of the course of this condition. They utilized repeat digital compression of the superior eyelid as part of conservative management [19]. The authors feel this is unlikely to be of many benefits since the majority of such hyphemas settle with bed rest and time.…”

Section: Discussionmentioning

confidence: 99%

“…Cobb's tufts usually remain asymptomatic [3,17]. They can rarely cause spontaneous hyphemas, for which the most common presenting complaint is a sudden blurring of vision [2,6,8,13,14,[18][19][20][21][22][23][24][25][26][27][28]. Less common symptoms are eye pain, discomfort, and sudden loss of vision [5,12,[29][30][31].…”

Section: Signs and Symptomsmentioning

confidence: 99%

“…IVT appears as coils of tightly clustered, minute blood vessels at the pupillary margin and demonstrate early hyperfluorescence with late staining [ 22 ]. Photographic/videographic documentation is recommended to assess changes over time [ 19 , 29 ]. The fellow eye should also be imaged as IVT is most commonly bilateral [ 3 , 22 ].…”

Section: Reviewmentioning

confidence: 99%

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Cobb’s Tufts: A Systematic Review

Almafreji¹,

Manton²,

Peck³

2021

Cureus

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Cobb's tufts, also known as iris vascular tufts (IVT) and iris microhemangiomas (IMH), are coils of tightly clustered, minute blood vessels at the iris pupillary border. This study aimed to analyze previous literature and provide an update on Cobb's tufts. A systematic literature review was carried out by interrogating PubMed, Google Scholar, Cochrane, and Embase databases. Full-text English language articles of any year were included in this study. A total of 38 articles fulfilled our inclusion criteria. A total of 115 reported cases of Cobb's tufts were incorporated into our review. The age of the patients ranged between 36 and 86 years. No sex or racial predisposition was noted. Most patients had no history of trauma, surgery, or blood dyscrasia. The majority of cases are asymptomatic and bilateral unless a spontaneous hyphema occurs, which most commonly presents as blurred vision. The etiology of this condition remains uncertain; however, a higher incidence has been shown in systemic conditions such as myotonic dystrophy and diabetes. Fluorescein angiography can be utilized to investigate tufts. Management includes treatment of raised intraocular pressure, observation for single bleeds, laser therapy for recurrent hyphemas, and lastly, iridectomy, which is considered in cases of recurrence following laser treatment.

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