1/15. Lateral canthotomy and inferior cantholysis: an effective method of urgent orbital decompression for sight threatening acute retrobulbar haemorrhage.Retrobulbar haemorrhage (RBH) occurs in a variety of situations. It can complicate facial fractures, orbital surgery and retrobulbar injections and can occur spontaneously. It is relatively uncommon and sight-threatening RBH is even less common. If not detected early enough it can lead to devastating loss of vision. We have collected five cases of acute RBH, following trauma, associated with a profound reduction in vision. In each case a permanent loss of vision was avoided using a lateral canthotomy and inferior cantholysis approach to obtain urgent orbital decompression.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
2/15. choroidal neovascularization after accidental macular damage by laser.A 30-year-old male physics professor was examined 2 months after being accidentally hit by a laser beam in his left eye. He complained of abrupt vision loss and central scotoma after the laser accident,with stabilization of the vision thereafter. At presentation, he presented best-corrected visual acuity of 6/18 in the left eye. Fundoscopy disclosed a slightly elevated foveal brownish lesion,surrounded by a subtle subretinal haemorrhage. fluorescein angiography demonstrated a hyperfluorescent foveal lesion with staining and a slight leakage in the late phase, characterizing a fibrovascular choroidal neovascularization (CNV). Optical coherence tomography showed a discrete increase in retinal thickness and a subretinal fibrotic CNV. visual acuity remained stable during the follow up(4 months). CNV after laser injury is rare. The evolution of this case suggests that CNV, after an accidental laser injury,in a healthy macula of a young patient might have a self-limited course and a relatively good prognosis.- - - - - - - - - - ranking = 0.2keywords = haemorrhage (Clic here for more details about this article) |
3/15. An uncommonly serious case of an uncommon sport injury.BACKGROUND: A 55 year old man sustained a severe ocular injury when hit by a cricket ball even though he was wearing a helmet. methods: A suprachoroidal haemorrhage was drained and dense intravitreal blood was removed. An inferior buckle was applied with the use of intraocular gas. A macular haemorrhage resolved slowly. RESULTS: Despite several surgical procedures over 1.5 years, the final visual acuity of the patient was only 6/60 because of a dense macular scar. CONCLUSIONS: Helmets worn as protection when playing cricket need to be designed better and be of better material. Eye protection should be worn at all levels of play.- - - - - - - - - - ranking = 0.4keywords = haemorrhage (Clic here for more details about this article) |
4/15. Successful use of recombinant activated factor vii in the treatment of vitreous haemorrhage: a report of seven cases.Vitreous haemorrhage poses a serious threat to vision if untreated. Therapeutic options remain scarce and surgical intervention to resolve persistent bleeding is associated with risks that may further compromise vision. We report the use of recombinant activated factor vii (rFVIIa) in seven patients (six men, one woman; age, 30-65 years) with vitreous haemorrhage and severe reduction in visual acuity caused by trauma (n = 4) or proliferative diabetic retinopathy (n = 3). Initial doses ranged from 60 to 140 microg/kg; most patients received maintenance therapy with 20-60 microg/kg for at least 3 days. One patient received rFVIIa treatment for only 24 h and suffered a re-bleed, controlled successfully with further rFVIIa therapy. Five patients responded well to rFVIIa treatment, with reduced symptoms and improvements in visual acuity. Late presentation several days after trauma or symptom onset may have contributed to poor outcomes in the two patients who failed to respond to rFVIIa therapy. No adverse events were observed. An initial dose of rFVIIa 60-140 microg/kg, followed by 20-60 microg/kg repeated at 8-h intervals for 3-5 days, appears to be an effective therapeutic option for vitreous haemorrhage. However, further studies of rFVIIa use in this indication are warranted.- - - - - - - - - - ranking = 1.4keywords = haemorrhage (Clic here for more details about this article) |
5/15. Acute retrobulbar haemorrhage: an ophthalmic emergency.Acute retrobulbar haemorrhage is a rare complication of blunt eye trauma. It can be sight-threatening but is reversible when recognized and treated promptly. We presented a case of acute retrobulbar haemorrhage with profound reduction of vision. Emergency surgical decompression was performed to preserve the vision. Clinical features and management are discussed.- - - - - - - - - - ranking = 1.2keywords = haemorrhage (Clic here for more details about this article) |
6/15. Traumatic aniridia after small incision cataract extraction.INTRODUCTION: phacoemulsification and falls are both common in the elderly population. We present a case of acquired total aniridia and vitreous haemorrhage occurring as a result of trauma in a pseudophakic eye. methods: Interventional case report with history, clinical photograph and discussion with literature review. RESULTS: A previously healthy 74-year-old Caucasian female was referred with a painful left eye and poor vision following a fall and trauma to the left side of her face. Initial examination confirmed visual acuity of perception of light with total hyphaema and vitreous haemorrhage. Subsequent examination revealed complete aniridia with an intact capsular bag and well-centred posterior chamber intraocular lens and attached retina. Final visual acuity after treatment was 6/9. CONCLUSIONS: Blunt trauma may cause total iris disinsertion in and expulsion from pseudophakic eyes. This relatively novel injury may present increasingly commonly to casualty departments and ophthalmologists.- - - - - - - - - - ranking = 0.4keywords = haemorrhage (Clic here for more details about this article) |
7/15. Traumatic hyphaema in a haemophiliac.A case is presented of a 9-year-old haemophiliac boy who sustained a traumatic hyphaema with secondary haemorrhage. Conservative management was successful in preventing complications, and normal vision was retained.- - - - - - - - - - ranking = 0.2keywords = haemorrhage (Clic here for more details about this article) |
8/15. Combined occlusion of the central retinal artery and central retinal vein following blunt ocular trauma: a case report.A healthy young woman suffered complete loss of the vision of one eye following a blunt ocular injury. She sustained a combined occlusion of the central retinal artery and central retinal vein of the affected eye. Initially few retinal haemorrhages were present, but they increased considerably in number and size during the day following injury.- - - - - - - - - - ranking = 0.2keywords = haemorrhage (Clic here for more details about this article) |
9/15. An unusual complication of perforating wounds of the eye.In two patients, after a perforating wound of the eye, a cilium was found in the vitreous. In the first patient one end of a cilium was stuck in the retina, the other end floated freely in the vitreous of the right eye. During a 5-year follow-up no inflammatory signs were observed. visual acuity remained 1.0. In the second patient a large metal foreign body was removed from the vitreous of the left eye immediately after the injury. A week later, while parsplana vitrectomy was being performed for a vitreous haemorrhage caused by the trauma, an eyelash was discovered in the vitreous, but it could not be removed. During the follow-up period, which included the removal of a traumatic cataract, the eyelash caused no inflammatory reaction. A year later the visual acuity of the left eye was 1.0. In the literature 17 reports were found of cases with one or more eyelashes in the posterior segment of the eye. In 5 cases this was discovered on clinical examination. Once the eyelash was spontaneously extruded from the bulbus, once panophthalmia developed after the injury. In 3 cases the eye could be saved, twice with useful visual acuity, in spite of retention of the eyelash.- - - - - - - - - - ranking = 0.2keywords = haemorrhage (Clic here for more details about this article) |
10/15. Transient open-angle glaucoma associated with sickle cell trait: report of 4 cases.Four black patients, all with sickle trait (SA), developed transient open-angle glaucoma with blood in Schlemm's canal. In 3 patients the condition followed blunt trauma, while in the fourth no antecedent trauma was described. The intraocular pressure became normal in all 4 cases with the resolution of the haemorrhage from the trabecular meshwork and Schlemm's canal.- - - - - - - - - - ranking = 0.2keywords = haemorrhage (Clic here for more details about this article) |
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