- Massive Hyphaema Following Laser Iridotomy in a Patient on Dual Antiplatelet Therapy (Aspirin plus Ticagrelor): Case report and literature review. [Case Reports]
- SQSultan Qaboos Univ Med J 2019; 19(1):e63-e67
- Massive hyphaema presentation after a laser iridotomy is very rare. We report a 63-year-old man with ischaemic heart disease on dual antiplatelet therapy (aspirin plus ticagrelor) who was diagnosed a…
Massive hyphaema presentation after a laser iridotomy is very rare. We report a 63-year-old man with ischaemic heart disease on dual antiplatelet therapy (aspirin plus ticagrelor) who was diagnosed as a primary angle-closure suspect and was to undergo a neodymium-doped yttrium aluminium garnet laser iridotomy at Centro Oftalmológico Virgilio Galvis, Floridablanca, Colombia in 2016. While performing the iridotomy in the left eye, active bleeding occurred that finally filled approximately 75% of the anterior chamber. Intraocular pressure (IOP) increased to 62 mmHg. Mannitol and a topical dorzolamide/timolol were used to control the increase in IOP. The hyphaema slowly resolved over the following week without sequelae. This case revealed that massive hyphaema can complicate laser iridotomy in patients on dual antiplatelet therapy, although this is rare. Therefore, if patients are taking aspirin and ticagrelor, it would be advisable to stop the second medication if possible. In addition, sequential application of photocoagulation and photodisruption lasers might diminish the risk of significant bleeding.
- [Preliminary efficacy of penetrating canaloplasty in primary angle-closure glaucoma]. [Journal Article]
- ZYZhonghua Yan Ke Za Zhi 2019 Jun 11; 55(6):448-453
- CONCLUSIONS: Preliminary study shows penetrating canaloplasty is safe and effective in the treatment of PACG, but needs a longer follow-up. (Chin J Ophthalmol, 2019, 55: 448-453).
- Traumatic hyphema in a patient with severe hemophilia A: Clinical features and management. [Journal Article]
- EJEur J Ophthalmol 2019 Jun 12; :1120672119856515
- CONCLUSIONS: In such cases with hemophilia A, traumatic hyphema, and intraocular pressure elevation despite medical intervention, an early surgical clot removal under intense factor VIII replacement could be performed. In the early postoperative period, factor replacement should be resumed in order to avoid re-bleeding.
- What is the impact of intravitreal injection of conbercept on neovascular glaucoma patients: a prospective, interventional case series study. [Journal Article]
- BOBMC Ophthalmol 2019 Jun 11; 19(1):128
- CONCLUSIONS: Our initial findings suggest that intravitreal conbercept is an effective treatment for managing NVG that has fewer short-term postoperative complications.
- Traumatic hyphaema in children: a retrospective and prospective study of outcomes at an Australian paediatric centre. [Journal Article]
- BOBMJ Open Ophthalmol 2019; 4(1):e000215
- CONCLUSIONS: Poorer visual outcomes are associated with younger age at injury and posterior segment injury. Angle recession and ACD asymmetry are associated with IOP asymmetry 5-12 years after injury.
- [Analysis of unplanned reoperation following vitreoretinal surgery]. [Journal Article]
- ZYZhonghua Yi Xue Za Zhi 2019 May 28; 99(20):1572-1575
- CONCLUSIONS: The primary diseases of unplanned reoperation for vitreoretinal surgery are complicated retinal detachment, diabetic retinopathy and silicone oil filled eyes. New onset or recurrent retinal detachment, increased intraocular pressure, hyphema and inflammation are common causes of reoperation.
- First Report of Acute Bilateral Hyphema in a Theileria equi-Infected Kathiawari Horse. [Journal Article]
- JEJ Equine Vet Sci 2019; 77:72-74
- Theileria equi is a tickborne hemoparasite that can cause severe illness in equids. In this report, we are describing a condition of acute bilateral hyphema in a 4-month-old Kathiawari filly infected…
Theileria equi is a tickborne hemoparasite that can cause severe illness in equids. In this report, we are describing a condition of acute bilateral hyphema in a 4-month-old Kathiawari filly infected with T. equi. The horse showed clinical signs such as fever, lethargy, icterus, tachycardia, tachypnea, and bilateral hyphema. Laboratory diagnosis revealed anemia and thrombocytopenia. Atypical clinical manifestation of bilateral hyphema, to our knowledge, has never been reported so far in equids infected with T. equi. The diagnosis was confirmed by microscopic examination of Geimsa-stained blood smear. Specific and supportive therapy for T. equi allowed remission of clinical signs and laboratory profile abnormalities.
- [Dramatic improvement in traumatic hyphema with heparin eye drops]. [Journal Article]
- JFJ Fr Ophtalmol 2019 May 23
- Hybrid clear corneal micro-incision surgical technique for stage 5 retinopathy of prematurity. [Journal Article]
- IJIndian J Ophthalmol 2019; 67(6):936-938
- A safe technique for entry incisions and closure in stage 5 retinopathy of prematurity (ROP) surgery is being described. Three 23G clear corneal incisions are made which allow for safe and snug entry…
A safe technique for entry incisions and closure in stage 5 retinopathy of prematurity (ROP) surgery is being described. Three 23G clear corneal incisions are made which allow for safe and snug entry of 25G calibrated infusion and 25G instruments for performing lensectomy, membrane removal and vitrectomy. At the end of surgery, air is injected and corneal entries are hydrated for sutureless closure. The technique was performed in 50 eyes of 36 children with stage 5 ROP. The hybrid technique ensured safe entry and exit with stable anterior chamber during surgery. None of the cases developed retinal breaks during surgical entry nor had any complications such as hypotony, flat anterior chamber, hyphaema or corneal edema in post operative period. Clear corneal entry using 23G incisions for 25G instrument access is a safe and effective technique for performing lensectomy and vitrectomy with sutureless closure in cases with stage 5 ROP.
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- A clinicopathological study of persistent fetal vasculature. [Journal Article]
- IJIndian J Ophthalmol 2019; 67(6):785-787
- CONCLUSIONS: We recommend IOL implantation in PFV, with early and aggressive amblyopia therapy.