Vitrectomy instrumentation for surgical evacuation of total anterior chamber hyphema and control of recurrent anterior chamber hemorrhage.
A patient with recurrent bleeding during hyphema extraction with the O'Malley ocutome was treated by elevation of the intraocular pressure to 50 mm Hg for 5 minutes with fluid from the infusing needle. When intraocular pressure was returned to normal, there was cessation of bleeding and postoperatively the anterior chamber remained free of blood. Elevation of intraocular pressure is offered as an initial alternative to air injection or cyclodiathermy for control of bleeding during hyphema extraction.
D002648:Child; D005131:Eye Injuries / Q000150:complications; D006801:Humans; D006988:Hyphema / Q000209:etiology / Q000601:surgery*; D007429:Intraocular Pressure; D008297:Male; D009885:Ophthalmology / Q000295:instrumentation*; D012008:Recurrence; D013396:Suction; D014792:Visual Acuity