Hyphema after peribulbar anesthesia for cataract surgery in Fuchs' heterochromic iridocyclitis.
OBJECTIVE
To describe an unusual ocular sign in one patient with Fuchs' heterochromic iridocyclitis at cataract surgery.


METHODS
We describe a patient with Fuchs' heterochromic iridocyclitis and cataract who developed a 1 mm hyphema observed two minutes after peribulbar anesthesia for cataract surgery.


RESULTS
The patient was found to have an equivalent of the Amsler-Verrey sign. It appeared after peribulbar anesthesia and before any instrument touched the globe. It did not interfere with surgery and disappeared completely by day 2.


CONCLUSIONS
The appearance of a hyphema after peribulbar anesthesia in Fuchs' heterochromic iridocyclitis is an unusual sign that may have the same pathophysiology as the Amsler-Verrey sign.
Belfort
R
R
Department of Ophthalmology, Federal University of São Paulo, Paulista School of Medicine, São Paulo Hospital, Brazil.
Muccioli
C
C
D000328:Adult; D000779:Anesthetics, Local / Q000009:adverse effects*; D002386:Cataract / Q000150:complications; D002387:Cataract Extraction; D005260:Female; D006801:Humans; D006988:Hyphema / Q000139:chemically induced*; D007431:Intraoperative Complications; D015863:Iridocyclitis / Q000150:complications / Q000601:surgery*; D008012:Lidocaine / Q000009:adverse effects*
D000779:Anesthetics, Local; D008012:Lidocaine