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Active iris vascular tufts bleeding successfully treated with argon laser photocoagulation
Ambreen Sarmad1, Fadi Alfaqawi1, Monali Chakrabarti1
1Birmingham and Midland Eye Centre, City Hospital, Birmingham - UK.
European Journal of Ophthalmology
|November 8, 2017
Summary
Iris vascular tufts (IVT) are rare capillary outgrowths that can cause hyphema. Argon laser photocoagulation effectively treated active bleeding from IVT in a patient, resolving blurred vision.
Area of Science:
- Ophthalmology
- Vascular Biology
Background:
- Iris vascular tufts (IVT) are uncommon capillary outgrowths originating from the pupillary margin.
- Patients with IVT may present with blurred vision due to hyphema or elevated intraocular pressure.
Observation:
- A 61-year-old woman experienced acute blurred vision and discomfort in her left eye.
- Biomicroscopy revealed a hyphema and active bleeding from bilateral IVTs, particularly at the pupillary margin of the left eye.
Findings:
- Diagnosis of active bleeding from IVT was confirmed.
- Argon laser photocoagulation was performed, immediately arresting the bleeding after two applications.
- The patient experienced excellent recovery with no recurrence of hyphema over a 5-year follow-up.
Implications:
- Argon laser photocoagulation is an effective treatment for arresting active bleeding from iris vascular tufts.
- This intervention can lead to excellent visual recovery and prevent recurrent hyphema episodes.
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