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Staphyloma: a complication of surgery for hyphema
Journal of Pediatric Ophthalmology and Strabismus
|November 1, 1978
Summary
Anterior staphylomas, a rare complication after hyphema extraction, occurred in two pediatric patients. Surgical intervention was required, with one patient needing enucleation and the other showing positive outcomes after resection.
Area of Science:
- Ophthalmology
- Surgical Complications
Background:
- Hyphema extraction via corneoscleral sections can lead to serious postoperative complications.
- Elevated intraocular pressure (IOP) post-hyphema evacuation poses a significant risk.
Observation:
- Two pediatric patients (aged 5 and 9) developed anterior staphylomas post-hyphema extraction.
- Both patients experienced elevated IOP postoperatively, despite corticosteroid treatment.
Findings:
- Scleral overlay patch graft failed to resolve staphyloma and elevated IOP in one patient, necessitating enucleation.
- Resection of the staphylomatous area with lensectomy and vitrectomy proved successful in the second patient, with a four-year follow-up.
Implications:
- This case highlights the potential for anterior staphyloma formation after hyphema surgery in children.
- Aggressive surgical management, such as resection with vitrectomy, may offer a viable alternative to enucleation for anterior staphyloma.