Anterior Chamber Hemorrhage (Hyphema) in Dogs & Cats: Symptoms, Diagnosis & Care [2025]
Anterior chamber hemorrhage (hyphema) is bleeding into the front chamber of the eye, caused by trauma, clotting disorders, hypertension, or tumors. Identifying the underlying cause is essential; mild cases often resolve on their own with appropriate treatment.
When to See a Vet
Seek Emergency Care Immediately
- •Eyeball visibly swollen and protruding outward
- •Persistent severe pain with inability to settle or rest
- •Sudden loss of vision or no response to light
Schedule a Clinic Visit Soon (within 24–72 hours)
- •One or both eyes appear blood-tinged or cloudy — photograph and document
- •Frequent squinting or avoidance of being touched, with reduced resting
- •Decreased energy and appetite but still able to move around briefly
01What Symptoms Indicate a Problem?
Anterior chamber hemorrhage causes visible changes to the eye, often accompanied by changes in behaviour or general wellbeing. Watch for any impact on vision or signs of pain.
- Visible blood or dark red cloudiness in the eye
- Frequent squinting due to pain in one or both eyes
- Low energy, reduced appetite, or lethargy
- Changes in vision, bumping into furniture, or altered behaviour
- Eye swelling, excessive tearing, or increased discharge
- If any of these signs appear, seek veterinary assessment promptly
Seek emergency care immediately if you notice the following symptoms:
- ⚠️ Obvious swelling or protrusion of the eyeball
- ⚠️ Continuous severe pain with inability to settle
- ⚠️ Sudden loss of vision or no response to light
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02How to Assess Abnormalities at Home: Key Observations and When to Seek Emergency Care
Observing and recording changes at home helps the vet quickly understand the progression and likely cause.
- Note the date and time you first noticed the eye abnormality
- Take close-up photos and short videos on your phone for reference
- Record daily changes in appetite, water intake, and activity level
- Observe whether urination, defecation, and general activity are normal
- If your pet allows, measure and record their temperature
- Bring all records and images to the ophthalmology appointment
03How Will the Vet Diagnose the Condition? Common Examination Steps
At the clinic, the vet will perform a thorough ophthalmic and full-body examination to identify the source of bleeding and any underlying cause.
Ophthalmic physical examination
assessment of the cornea, conjunctiva, and anterior chamber using slit-lamp biomicroscopy
Intraocular pressure measurement to rule out or assess glaucoma
Ocular ultrasound or fundoscopy to evaluate the extent and depth of hemorrhage
Blood panel and coagulation tests to identify systemic causes
Blood pressure measurement and referral for advanced imaging (e.g. CT) if needed
04Post-Diagnosis Treatment and Care: Medications, Dietary Adjustments, and Home Care
Treatment focuses on symptom control, addressing the source of bleeding, and monitoring vision and intraocular pressure. Surgical or specialist intervention may be required.
- Hospitalisation for pain management and monitoring may be recommended depending on severity
- Medications and eye drops will be adjusted based on follow-up examination findings
- Extensive or persistent bleeding may require surgery or specialist referral
- Concurrent treatment of the underlying cause (e.g. clotting disorders or systemic disease)
- Regular follow-up visits to monitor intraocular pressure and imaging findings
- Specialist follow-up at a veterinary ophthalmology centre is recommended when available
05What to Prepare Before the Vet Visit: Key Information to Help the Vet Identify the Cause
This content is for reference only and cannot replace a professional veterinary diagnosis. If your pet shows signs of illness, please seek veterinary care promptly.
