1/14. Spontaneous inferior subconjunctival haemorrhages in association with circumferential drainage blebs.AIM: To describe an association of spontaneous inferior subconjunctival haemorrhages in eyes with circumferential drainage blebs following trabeculectomy. methods: Observational case series. patients with multiple episodes of spontaneous inferior subconjunctival haemorrhage following trabeculectomy (with or without antimetabolite) and circumferential blebs are presented. All patients described had multiple episodes. A possible mechanism is discussed. RESULTS: The number of spontaneous haemorrhages ranged from two to more than 10. All individual haemorrhages resolved spontaneously without adverse sequelae CONCLUSIONS: A new clinical presentation of inferior subconjunctival haemorrhage in association with circumferential blebs is described.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
2/14. Successful splenectomy in May-Hegglin anomaly: report of a case with platelet kinetic studies.Bleeding diathesis is not necessarily one of the conspicuous and serious characteristics of the macrothrombocytopenic syndromes, which include the May-Hegglin anomaly. Nevertheless, occasionally prolonged bleeding time may endanger organs or even life. We report a case of a young girl with severe thrombocytopenia due to May-Hegglin anomaly, who was facing blindness because of intraocular haemorrhages. Being unable to intervene in the pathogenesis of the disease, we performed splenectomy after proving splenic sequestration of platelets. This procedure allowed the performance of a successful bilateral vitrectomy.- - - - - - - - - - ranking = 0.11111111111111keywords = haemorrhage (Clic here for more details about this article) |
3/14. Successful goniotomy in hemophilia a.An infant of 8 months with congenital glaucoma and hemophilia a lost one eye due to haemorrhages after trabeculotomy in an eye hospital. Only thereafter, the hemophilia a was discovered. We did a goniotomy of the fellow eye in November 1971 after normalization of the factor viii activity. The intervention was without complications; now, 16 years later, the visual field is completely normal (Octopus), the visual acuity is 1.6, the intraocular pressure oscillates between 18 and 21 mm Hg. This report shows that it is possible to operate upon children with hemophilia a successfully, and that children must be checked before the first intervention for hemophilia a because of the severe consequences if it is not discovered or treated, although the condition is rare.- - - - - - - - - - ranking = 0.11111111111111keywords = haemorrhage (Clic here for more details about this article) |
4/14. Ghost cell glaucoma in phakic eyes.We report 3 cases of ghost cell glaucoma all of which occurred in phakic patients with onset between 18 months and 4 years after vitreous haemorrhage. There appears to have been spontaneous disruption of the anterior hyaloid face in all 3 cases. Control of the glaucoma was achieved by medical treatment in one case and by trabeculectomy in two.- - - - - - - - - - ranking = 0.11111111111111keywords = haemorrhage (Clic here for more details about this article) |
5/14. Haemolytic glaucoma occurring in phakic eyes.The occurrence of haemolytic glaucoma in phakic eyes due to ghost cells has not previously been reported. Three cases of haemolytic glaucoma occurring over two years after massive vitreous haemorrhage in patients with an intact lens iris diaphragm are described. In one case there was histological confirmation of the presence of ghost cells in the anterior chamber. The mechanism proposed for the passage of ghost cells to the anterior chamber is through a defect in the anterior hyaloid face, created as the vitreous liquefies and degenerates. The reported cases were satisfactorily treated by trabeculectomy with anterior chamber washout, which management has not previously been reported in haemolytic glaucoma.- - - - - - - - - - ranking = 0.11111111111111keywords = haemorrhage (Clic here for more details about this article) |
6/14. Glaucomatous disc haemorrhages photographed at short intervals.Fundus photography was performed at an interval of 1-2 weeks on two glaucoma patients with disc haemorrhages (hh). It was shown that Haemorrhages (hh) appear again and again at the same place over a long period, which may, if the observations are made at long intervals, give the false impression of one, very slowly resorbed h. The opinion that hh are caused by a singular vascular acute disorder is not supported. The blood is seen propagating peripherically along the nerve fibres. After resorption of the papillary part the h may remain only outside the disc, thus giving the impression of a completely extrapapillary h. The resorption of blood occurs probably more rapidly over the papillary tissue than in regions outside the disc.- - - - - - - - - - ranking = 0.55555555555556keywords = haemorrhage (Clic here for more details about this article) |
7/14. Frequent disc photography and computerized perimetry in eyes with optic disc haemorrhage. A pilot study.Two patients (one with glaucoma with field loss, one with ocular hypertension) with previously known optic disc haemorrhage were followed with frequent disc photography, computerized perimetry and tonometry for a period of one year. Nine haemorrhages were seen in three of the four eyes studied. Three bleedings showed sudden enlargements, interpreted as re-bleedings, during the absorption phase. Haemorrhages were not associated with any stepwise localized or general worsening of the visual field, nor did the fields deteriorate during the period of the study. No structural changes of the optic nerve head were seen after the bleedings during the observation time of one year. The duration of the haemorrhages varied, but no bleeding lasted less than one week. Before disappearing they were often so small that they could only be detected when series of photographs were examined in chronological order. Haemorrhages large enough to be discernible on isolated slides were present in 20% of the disc photographs. Thus disc haemorrhages are transient and easy to overlook. Many careful observations may be necessary before the first haemorrhage is seen. Each individual bleeding is a minor vascular incident which usually leaves no measurable functional or structural trace.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
8/14. 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 = 0.11111111111111keywords = haemorrhage (Clic here for more details about this article) |
9/14. Ophthalmological findings in nephropathia epidemica in Lapland.We report ophthalmological findings in 15 cases of nephropathia epidemica. The patients, 13 men and 2 women, were 20 to 62 (mean 30) years of age. The onset of the disease was characterized by high fever, nausea, headache, abdominal pain, backache, somnolence, red throat, proteinuria, and oliguria. The symptoms subsided rapidly during the polyuria stage. Transitory myopia occurred in 8 patients (53%). Conjunctival injection and haemorrhages were seen in 3 patients (20%). One patient had acute glaucoma with oedema in the cornea and shallowing of the anterior chamber, with subsequent anterior uveitis and haemorrhages in the ocular fundus, and another patients had acute glaucoma. Three patients had photophobia which occurred in 2 patients without any glaucoma or anterior uveitis.- - - - - - - - - - ranking = 0.22222222222222keywords = haemorrhage (Clic here for more details about this article) |
10/14. Intraocular gnathostoma spinigerum. Clinicopathologic study of two cases with review of literature.BACKGROUND: Live intraocular nematode is a rare occurrence that is mostly reported in Southeast Asian countries. Common nematodes that are seen live in the eye are microfilaria, gnathostoma, and angiostrongylus. Approximately 12 cases of intraocular gnathostomiasis have been reported in the literature. METHOD: Two cases of intraocular gnathostoma, removed by vitrectomy in the first case and by paracentesis in the second case, are reported. Morphologic study of the parasites in wet preparation was performed under dissecting microscope and fixed in Karnovosky's fixative. light microscopic and scanning electron microscopic studies were also performed. RESULTS: The first patient had anterior uveitis, multiple iris holes, and dense vitreous haze with fibrous proliferation over the optic disc. On resolution of the vitreous haze, a live worm was seen in the vitreous cavity. The second patient had anterior uveitis with secondary glaucoma, multiple iris holes, mild vitritis, and focal subretinal haemorrhage with subretinal tracts. Four days later a live worm was seen in the anterior chamber and removed. Microscopic study of the parasites from both patients revealed typical head bulb with four circumferential rows of hooklets, and fine cuticular spines were seen on the surface of the body. CONCLUSIONS: iris holes, uveitis, and subretinal haemorrhage with subretinal tract can be characteristic features of intraocular gnathostomiasis. Identification of this parasite can be made by typical features, which can be identified on light and scanning electron microscopic study.- - - - - - - - - - ranking = 3.0146646274547keywords = retinal haemorrhage, haemorrhage (Clic here for more details about this article) |
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