title: Healon5 in the management of intraoperative expulsive hemorrhage.
abstract: We present a patient with systemic hypertension, glaucoma, and previous vitrectomy who experienced a large expulsive choroidal hemorrhage during a procedure to reposition and iris fixate a subluxated intraocular lens. Liberal use of sodium hyaluronate 2.3% (Healon5) resulted in cessation of the hemorrhage, allowing completion of the case. Healon5 may cause cessation of bleeding through a tamponade effect and thus be useful in treating patients experiencing an intraoperative expulsive hemorrhage.
authors.affiliation: Department of Ophthalmology, Scott and White Memorial Hospital and Clinic, The Texas A&M University System Health Science Center College of Medicine, Temple, Texas, USA. svold@wmail.sw.org
authors.forename: Steven D
authors.initials: SD
authors.lastname: Vold
authors.forename: Nathan
authors.initials: N
authors.lastname: Rylander
mesh_terms: D000369:Aged, 80 and over; D002832:Choroid Hemorrhage / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D005260:Female; D005548:Foreign-Body Migration / Q000601:surgery; D005901:Glaucoma / Q000150:complications; D006801:Humans; D006820:Hyaluronic Acid / Q000627:therapeutic use*; D006973:Hypertension / Q000150:complications; D007431:Intraoperative Complications; D007498:Iris / Q000601:surgery; D007910:Lenses, Intraocular; D012086:Reoperation; D014463:Ultrasonography; D014821:Vitrectomy
chemical_list: D006820:Hyaluronic Acid