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Intracameral Phenylephrine to Arrest Intraoperative Intraocular Bleeding: A New Technique
Mukhtar Bizrah1, Melanie C Corbett2
1The Western Eye Hospital, Imperial College NHS Trust, London, UK. mbizrah@gmail.com.
Ophthalmology and Therapy
|February 17, 2019
Summary
Intracameral phenylephrine injection effectively stopped anterior chamber bleeding during cataract surgery. This novel approach enabled surgeons to safely complete procedures without further hemorrhage, improving patient outcomes.
Area of Science:
- Ophthalmology
- Surgical Innovation
Background:
- Intraoperative bleeding during anterior segment surgeries like cataract surgery poses significant challenges.
- Uncontrolled bleeding can impede surgical progress and lead to complications.
Purpose of the Study:
- To evaluate the efficacy of intracameral phenylephrine in managing intraoperative anterior chamber bleeding.
- To report the first use of intracameral phenylephrine for hemostasis during cataract surgery.
Main Methods:
- Intracameral injection of phenylephrine was administered in three cases with intraoperative anterior chamber bleeding.
- One case involved concurrent CyPass® Micro-Stent insertion.
Main Results:
- Complete cessation of bleeding was achieved within one minute following phenylephrine injection.
- No intraoperative or postoperative hemorrhage occurred in the treated cases.
Conclusions:
- Intracameral phenylephrine is a safe and effective method for controlling intraoperative anterior chamber bleeding.
- This technique facilitates the safe completion of anterior segment surgeries complicated by bleeding.
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