Bimanual bipolar diathermy for recurrent hyphema after anterior segment intraocular surgery.
Phacoemulsification with mechanical pupil dilation was performed on a functionally monocular glaucoma patient with pseudoexfoliation syndrome. The postoperative course was complicated by persistent intraocular hemorrhaging from the pupil margin in multiple locations that ceased temporarily with a marked elevation in intraocular pressure (IOP). Normalization of IOP with medication or paracentesis resulted in recurrent bleeding and a subsequent increase in IOP elevation. Surgical intervention using bipolar diathermy was required to control the bleeding and the elevated IOP. A bimanual approach allowed the corrective procedure to be performed in a simple and efficacious manner.
Fine
I Howard
IH
Hoffman
Richard S
RS
Packer
Mark
M
D000368:Aged; D000369:Aged, 80 and over; D000869:Anterior Eye Segment / Q000601:surgery*; D003972:Diathermy / Q000379:methods*; D017889:Exfoliation Syndrome / Q000150:complications; D005260:Female; D005901:Glaucoma / Q000150:complications; D006801:Humans; D006988:Hyphema / Q000209:etiology / Q000601:surgery*; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular; D018918:Phacoemulsification; D011183:Postoperative Complications; D012008:Recurrence