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Hyphema occurring during selective laser trabeculoplasty.

Wisam A Shihadeh1, Robert Ritch, Jeffrey M Liebmann

  • 1The New York Eye and Ear Infirmary, New York, NY 10003, USA.

Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye
|October 5, 2006
PubMed
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Selective laser trabeculoplasty can cause hyphema, a bleeding complication, even in eyes without neovascularization. This case highlights the importance of monitoring intraocular pressure and anterior chamber reaction post-procedure.

Area of Science:

  • Ophthalmology
  • Glaucoma Research

Background:

  • Selective laser trabeculoplasty (SLT) is a common treatment for open-angle glaucoma.
  • Managing high intraocular pressure (IOP) is crucial to prevent glaucoma progression.

Observation:

  • A case of hyphema (bleeding in the anterior chamber) occurred during SLT in a 77-year-old male patient.
  • The patient had uncontrolled open-angle glaucoma and received SLT in both eyes.

Findings:

  • Hyphema developed in the left eye during the SLT procedure.
  • The hyphema resolved spontaneously without any lasting complications.
  • Effective IOP control was achieved post-procedure.

Implications:

  • This is the first reported case of hyphema during SLT in an eye without neovascularization.

Related Experiment Videos

  • While transient and uneventful in this instance, hyphema is a potential complication of SLT.
  • Close monitoring of IOP and anterior chamber inflammation is recommended after SLT.