Spontaneous Hyphema Secondary to Vascular Tuft of Pupillary Margin of the Iris

A patient had vascular tufts of the pupillary margins of both eyes that gave rise to a spontaneous hyphema in one eye. During a four-year follow-up without treatment, there was no recurrence of the hyphema. Iris fluorescein angiography showed the vascular tufts to be more numerous than was apparent on slit-lamp biomicroscopy. Patients with vascular tufts of the pupillary margins are usually asymptomatic. If hyphema does occur in such a patient, recurrence is unlikely. Treatment may be reserved for recurrent hyphema.