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A 45-year-old man with spontaneous hyphema of the right eye
Digital Journal of Ophthalmology 2017
Volume 23, Number 3
August 9, 2017
DOI: 10.5693/djo.03.2017.02.003
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Jay C. Wang, MD | Department of Ophthalmology, Massachusetts Eye and Ear, Boston, Massachusetts
Maggie B. Hymowitz, MD | Department of Ophthalmology, Massachusetts Eye and Ear, Boston, Massachusetts



Treatment
The patient was initially switched from prednisolone acetate to difluprednate 0.05% drops every 2 hours and started on cyclopentolate 1% drops 3 times per day in the right eye. Additionally, he was started on oral valacyclovir 1000 mg 3 times a day. He did not symptomatically improve with this therapy; therefore, he was started on 3 days of 1 g intravenous methylprednisolone infusion followed by an oral prednisone taper, with noticeable improvement. On tapering of oral prednisone, inflammation recurred, and he was started on systemic corticosteroid-sparing therapy with methotrexate. Subsequently he was also started on adalimumab for better control of his inflammation.
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