Cases reported "Hyphema"

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1/9. Endocapsular hematoma: report of a case following glaucoma surgery in a pseudophakic eye.

    The authors describe a case of an endocapsular hematoma that occurred in a 69-year-old pseudophakic diabetic male following mitomycin C (MMC) augmented trabeculectomy for neovascular glaucoma (NVG). The clinical course of the patient is described, and the unique features of this case are presented and discussed. The endocapsular hematoma absorbed in 6 weeks with conservative management. The patient regained the preoperative visual acuity of 20/30, and his intraocular pressure was controlled without any glaucoma medication. The iris neovascularization regressed. This case is the first report of an endocapsular hematoma following glaucoma filtering surgery in a pseudophakic eye with neovascular glaucoma.
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ranking = 1
keywords = neovascularization
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2/9. Clinicopathological features of severe corneal blood staining associated with proliferative diabetic retinopathy.

    A 54-year-old man with a history of severe proliferative diabetic retinopathy in both eyes and profound visual impairment presented with severe corneal blood staining in the left eye secondary to a "spontaneous" total hyphaema and raised intraocular pressure in an eye with iris neovascularization. Despite anterior chamber washout, the cornea remained virtually opaque and thickened. The subject subsequently underwent pars plana vitrectomy with endolaser using a temporary keratoprosthesis, insertion of a Morcher iris-surround intraocular lens and penetrating keratoplasty. Histopathology of the excised corneal button revealed fine eosinophilic granules composed of aggregations of haemoglobin and its breakdown products dispersed throughout the stroma, with occasional foci of weakly positive Perl staining for intracellular haemosiderin. fluorescence confocal microscopy revealed a marked increase in fluorescence throughout the corneal stroma and the basal epithelial layer. This case highlights the microstructural features and aspects of the surgical management of severe corneal blood staining.
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ranking = 1
keywords = neovascularization
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3/9. Rubeosis capsulare.

    Two patients with diabetes had extracapsular cataract extraction with intraocular lens (IOL) implantation. Both developed rubeosis iridis and neovascularization within the lens capsule supporting the IOL, a condition we have termed rubeosis capsular. argon laser treatment was ineffective in both patients. One patient was successfully treated by virectomy with endophotocoagulation. The other patient had a vitrectomy which was followed by a fibrinoid reaction, continued inflammation, rubeosis, and phthisis bulbi.
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ranking = 1
keywords = neovascularization
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4/9. hyphema occurring during selective laser trabeculoplasty.

    The first case of hyphema occurring during selective laser trabeculoplasty in an eye without neovascularization is described. A 77-year-old man with uncontrolled open-angle glaucoma received selective laser trabeculoplasty in both eyes for high intraocular pressure with maximally tolerated medical treatment. hyphema occurred during selective laser trabeculoplasty in the left eye. This resolved spontaneously without sequelae. Successful intraocular pressure control was achieved. hyphema and bleeding can happen during selective laser trabeculoplasty. Although this was transient and uneventful in one patient, careful monitoring of intraocular pressure and anterior chamber reaction is advised.
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ranking = 1
keywords = neovascularization
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5/9. argon laser therapy of occult recurrent hyphema from anterior segment wound neovascularization.

    Recurrent hyphema is a complication of anterior segment surgery that may present with a variety of signs and symptoms. The appropriate diagnosis of this syndrome may be overlooked because its presentation is frequently delayed, and its symptoms and signs are varied and frequently evanescent. Major forms of surgical intervention have been recommended for this syndrome, but we believe that many such cases can be treated relatively simply and effectively with argon laser goniophotocoagulation using topical anesthesia. We present five cases of recurrent hyphema from neovascularization of a surgical incision.
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ranking = 5
keywords = neovascularization
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6/9. Differential diagnosis of spontaneous hyphema associated with central retinal vein occlusion.

    Spontaneous hyphema refers to a nontraumatic hemorrhage in the anterior chamber. It is uncommon and may result from such conditions as rubeosis iridis, intraocular neoplasms, blood dyscrasias, severe iritis, fibrovascular membranes in the retrolental or zonular area, and vascular anomalies of the iris. A case is presented describing a spontaneous hyphema occurring as a result of iris neovascularization in a patient who suffered from occlusion of the central retinal vein. Spontaneous hyphema and the presenting ocular conditions as they pertain to its occurrence are discussed.
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ranking = 1
keywords = neovascularization
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7/9. Central retinal vein occlusion and iris neovascularization hemorrhage.

    Although there have been few direct observations, the etiology of spontaneous hyphema in patients with retinal or ocular hypoxia is assumed to be hemorrhage from a neovascular iris vessel. This paper reports observed hemorrhage from such a rubeotic iris in a patient with central retinal vein occlusion, diabetes, hypertension, peripheral vascular disease and chronic open-angle glaucoma. Bleeding was spontaneous with dilation, but stopped within 24 hours without treatment, leaving only traces of inferior angle blood staining. The two types of central retinal vein occlusion, and suggestions for their management, are also discussed.
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ranking = 4
keywords = neovascularization
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8/9. Delayed hyphema after argon laser iridectomy.

    A 77-year-old black woman without neovascularization developed spontaneous hyphema two days after laser iridectomy. Bleeding originated at the site of iridectomy. This complication has not been previously reported.
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ranking = 1
keywords = neovascularization
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9/9. Late hyphema after small incision cataract surgery.

    A 68-year-old patient presented with a spontaneous hyphema 11 months after successful small incision cataract surgery. There was evidence of neovascularization of the wound. The intraocular lens was sequestered in the capsular bag within an intact capsulorhexis. Wound neovascularization as a complication of cataract surgery has become extremely rare with the increase in the popularity of the corneal incision for extracapsular cataract surgery. But the complication could become more common with the return to scleral incisions for phacoemulsification. Precise wound construction is necessary to avoid this complication.
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ranking = 2
keywords = neovascularization
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