Iridectomy in the Surgical Management of Eight-Ball Hyphema

Parrish, Richard K.; Bernardino, Vitaliano B.

doi:10.1001/archopht.1982.01030030437010

Cited by 21 publications

(6 citation statements)

References 16 publications

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“…The visual prognosis from an eight-ball hyphema remains poor but this depends on its cause and comorbidities. 8 , 12 About 50% of eight-ball hyphema patients have a BCVA of less than 20/40. 23 As a result of a grade III senile cataract and inflammatory membrane obscuring the pupillary axis, the last follow-up BCVA OS was 10/400.…”

Section: Discussionmentioning

confidence: 99%

Eight-ball hyphema after laser iridotomy in a patient with undiagnosed hypocellular myelodysplastic syndrome

Arunmongkol¹,

Suwan²,

Supakontanasan³

et al. 2018

IMCRJ

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IntroductionWe report a rare case of unexpected gross hyphema in the right eye (OD) and eight-ball hyphema in the left eye (OS) from a bilateral laser iridotomy in an acute primary angle-closure patient. We also demonstrated the effectiveness of the inferior full-thickness trabeculectomy with daily intracameral air injection as an alternative treatment in eight-ball hyphema.Case reportAn 81-year-old Thai female presented with gross hyphema grade II OD and eight-ball hyphema with blood-stained cornea OS after laser iridotomy. The patient was scheduled for surgery and the preoperative blood test showed bicytopenia. We performed anterior chamber washout OD and an inferior full-thickness trabeculectomy with daily intracameral air injection OS. The hyphema completely resolved on the following day OD and 3 days after surgery OS. The inferior bleb OS did not raise with digital pressure and became nonfunctional in 7 days. No recurrent hyphema was found in both eyes (OU) during 6 months of follow-up. This patient was ultimately diagnosed with hypocellular myelodysplastic syndrome (MDS).ConclusionGross hyphema after laser iridotomy can be seen in patients with hypocellular MDS. The inferior full-thickness trabeculectomy is an alternative surgical procedure for an eight-ball hyphema.

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Section: Discussionmentioning

confidence: 99%

Eight-ball hyphema after laser iridotomy in a patient with undiagnosed hypocellular myelodysplastic syndrome

Arunmongkol¹,

Suwan²,

Supakontanasan³

et al. 2018

IMCRJ

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“…Extraocular muscle entrapment and strangulation is considered by most surgeons to be an absolute indication for immediate surgical repair. However, traditional open approaches require globe retraction, which can result in secondary hemorrhage and visual loss in the presence of a hyphema 20 . Therefore, most ophthalmologic surgeons would recommend delay of the repair for at least 5 days, despite the fact that this may result in muscle necrosis and permanent diplopia.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Approach to Orbital Blowout Fracture Repair

Strong

Kim

Diaz

2004

Otolaryngol.--head neck surg.

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“…Globe retraction increases intraocular pressure and can result in secondary hemorrhage and visual loss. 19 Therefore, most surgeons would delay the repair for at least 5 days, despite the fact that this may result in permanent extraocular muscle injury. The transmaxillary endoscopic approach offers an excellent solution to this dilemma without the need for globe retraction.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Repair of Orbital Blow-Out Fractures

Strong

2004

Facial Plast Surg

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Orbital floor blow-out fractures (OBFs) result from trauma to the globe and periorbita. These fractures occur in repeatable patterns that can be endoscopically classified as either medial or lateral to the infraorbital nerve (V2). Medial fractures are the most common and can be separated into "trap door" and "blow-out" fractures. Fractures that extend lateral to V2 are generally higher velocity injuries that result in comminution of the entire orbital floor. The key to successful surgical repair of these injuries is adequate exposure, visualization of the posterior bone shelf, and anatomic repair of the entire defect. Visualization of the posterior shelf can be challenging through traditional transconjunctival and subciliary approaches. These approaches also have known risks of postoperative eyelid malposition. The transmaxillary endoscopic approach to OBFs offers excellent visualization of the entire orbital floor. Fracture types can be evaluated and repaired endoscopically without the need for an eyelid incision. Although this is a new and evolving technique, early experience suggests that the endoscopic approach is a safe, efficacious technique for OBF repair. It offers improved visualization, anatomic fracture repair, no risk of postoperative eyelid complications, and good clinical results.

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Iridectomy in the Surgical Management of Eight-Ball Hyphema

Cited by 21 publications

References 16 publications

Eight-ball hyphema after laser iridotomy in a patient with undiagnosed hypocellular myelodysplastic syndrome

Eight-ball hyphema after laser iridotomy in a patient with undiagnosed hypocellular myelodysplastic syndrome

Endoscopic Approach to Orbital Blowout Fracture Repair

Endoscopic Repair of Orbital Blow-Out Fractures

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