Hyphema refers to an accumulation of red blood cells within the anterior chamber of the eye and is more frequently a consequence of trauma. Particularly, blunting trauma due to plastic projectiles is increasingly reported as its cause. Isolated low-grade hyphema does not represent an emergency, but deferred urgency. The paper reports the case of a 17-year-old boy who presented with a hyphema after blunt ocular trauma and highlights important teaching points for the Emergency Room paediatricians.