Filter by keywords:



Filtering documents. Please wait...

1/28. Bleeding during gonioscopy after deep sclerectomy.

    PURPOSE: To show a new complication after deep sclerectomy (DS). methods: We described two eyes of two patients with open-angle glaucoma and cataract who were operated on of an uneventful phacoemulsification and DS with SK-gel implantation. RESULTS: Bleeding during gonioscopic examination occurred in both eyes 7 and 8 months after combined surgery. The blood originated from the vessels around the Descemet window, and was probably due to manipulation or rocking of the goniolens. Pressure was immediately applied to the gonioscopic lens and the hyphema was interrupted. CONCLUSION: These cases show the presence of new vessels around the Descemet window after DS with SK-gel. Bleeding from the Descemet window vessels can occur during gonioscopy even months after DS. We recommend conducting a careful gonioscopic examination in patients who have undergone DS to avoid this complication.
- - - - - - - - - -
ranking = 1
keywords = hyphema
(Clic here for more details about this article)

2/28. 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.
- - - - - - - - - -
ranking = 4
keywords = hyphema
(Clic here for more details about this article)

3/28. Infectious endophthalmitis following sutureless cataract surgery.

    Within the last 6 months, three cases of infectious endophthalmitis following sutureless cataract surgery have been referred to us. Two of these cases followed uncomplicated sutureless phacoemulsification with intraocular lens implantation. One case was complicated by a postoperative hyphema with additional surgery for clot removal 2 days following the initial procedure.
- - - - - - - - - -
ranking = 1
keywords = hyphema
(Clic here for more details about this article)

4/28. 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.
- - - - - - - - - -
ranking = 6
keywords = hyphema
(Clic here for more details about this article)

5/28. Intraocular hemorrhage from wound neovascularization years after anterior segment surgery (Swan syndrome).

    At the Mayo Clinic from 1972 to 1986, 15 patients (17 eyes) had intraocular hemorrhage due to neovascularization of the stromal wound years after anterior segment surgery (Swan syndrome). Months to years after surgery patients complained of low-grade blurring that was painless and transient. The hemorrhage was seen after intracapsular cataract extraction, and one third of the patients had had an intraocular lens implant. Of the 15 patients 14 were referred, 6 for vitreous hemorrhage, 5 for recurrent hyphema, 2 for amaurosis fugax and 1 for recurrent uveitis. The average time between surgery and presentation was 4 years. The initial visual acuity was better than 20/40 in 15 eyes (extremes 20/20 and hand movement), and intraocular pressure was elevated above 30 mm Hg in 2 eyes. Treatment included periodic observation (in 10 eyes), goniophotocoagulation (in 7) and limbal cryopexy (in 3). After a mean follow-up period of 3 years all 17 eyes showed normal acuity and intraocular pressure. No patient had intractable glaucoma or phthisis.
- - - - - - - - - -
ranking = 1
keywords = hyphema
(Clic here for more details about this article)

6/28. Focal scleral thinning after transscleral Nd:YAG cyclophotocoagulation.

    Transscleral neodymium (Nd):YAG cyclophotocoagulation, a new cyclodestructive procedure for controlling intraocular pressure in patients with refractory glaucoma, is designed to penetrate the sclera and selectively destroy the ciliary body and processes without damaging the overlying tissue. Complications include conjunctival edema, corneal edema, iritis, gas in the anterior chamber, pain, hyphema, hypopyon, vitreous hemorrhage, and cataract. We present a case in which a patient developed focal areas of scleral thinning 6 weeks after transscleral Nd:YAG cyclophotocoagulation. The possibility of scleral damage or thinning should be kept in mind when performing the procedure.
- - - - - - - - - -
ranking = 1
keywords = hyphema
(Clic here for more details about this article)

7/28. Staphyloma: a complication of surgery for hyphema.

    Anterior staphylomas developed in two young patients as a postoperative complication of hyphema extractions through corneoscleral sections. The patients, aged five and nine years, underwent evacuation of the hyphemas after rebleeding caused medically unmanageable intraocular pressure elevations. Postoperatively, both patients received corticosteroids and had elevation of intraocular pressure. To repair the staphyloma, a scleral overlay patch graft was performed in one patient, but the intraocular pressure remained elevated and the staphyloma gradually recurred. Enucleation of the eye was eventually required. Resection of the staphylomatous area with lensectomy and complete vitrectomy was performed in the second patient. After four years of follow-up this patient continues to do well.
- - - - - - - - - -
ranking = 6
keywords = hyphema
(Clic here for more details about this article)

8/28. Pseudophakic posterior iris chafing syndrome.

    Posterior iris chafing by the loop or the optic portion of sulcusfixated posterior chamber lens implants may cause a spectrum of disorders that include iris-pigment epithelial "window defects," pigment dispersion with or without elevation of intraocular pressure, intermittent microhyphemas with transient visual obscurations, and the UGH syndrome. It appears that secondary pigmentary glaucoma is more likely with planar loop design than with angulated loops. Optic and loop materials may play a role in the development of the disorder. Implantation of both supporting loops of the implant within the capsular bag is suggested to prevent posterior iris chafing.
- - - - - - - - - -
ranking = 1
keywords = hyphema
(Clic here for more details about this article)

9/28. Fox shield treatment of the UGH syndrome.

    The uveitis-glaucoma-hyphema (UGH) syndrome has been described with all types of intraocular lenses. The usual forms of therapy include miotics, mydriatics, steroids, antiglaucomatous medications, laser therapy, and surgical explanation. I describe five patients in whom the UGH syndrome resolved after long-term Fox shield treatment to prevent nocturnal hand-eye trauma.
- - - - - - - - - -
ranking = 1
keywords = hyphema
(Clic here for more details about this article)

10/28. The role of vitrectomy instrumentation in the treatment of severe traumatic hyphema.

    Eight patients with severe traumatic hyphemas underwent clot evacuation with vitrectomy instrumentation. The patients were followed up for periods of one to four years. No significant intraoperative complications were noted, but one eye developed a postoperative flat anterior chamber and another developed multiple staphylomas with uncontrolled glaucoma, leading to the eventual enucleation. Seven of the eight operated eyes achieved intraocular pressure control in the early postoperative period, and this control was sustained throughout the course of follow-up without antiglaucomatous medication. These same seven eyes had final visual acuities of 6/12 (20/40) or better.
- - - - - - - - - -
ranking = 5
keywords = hyphema
(Clic here for more details about this article)
| Next ->


Leave a message about 'Postoperative Complications'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.