What is a possible long-term sequelae of hyphema?

Hyphema, which is the accumulation of blood in the anterior chamber of the eye, can lead to various complications if not managed properly. One of the significant long-term sequelae of hyphema is glaucoma, particularly due to the increase in intraocular pressure that can occur when blood clots obstruct the drainage pathways within the eye.

When a hyphema occurs, the red blood cells and other debris can block the trabecular meshwork, which is crucial for the proper drainage of aqueous humor. This blockage can result in elevated intraocular pressure. Over time, uncontrolled or significant intraocular pressure can damage the optic nerve, leading to glaucoma, which can potentially result in vision loss if not treated.

Other options, while they can occur for various reasons, are less directly connected to hyphema. Cataracts typically develop due to age or underlying conditions, macular degeneration is usually age-related and not a direct result of hyphema, and retinal detachment can occur from trauma but is not a common long-term consequence of hyphema specifically. Thus, glaucoma stands out as the primary long-term concern associated with this condition.