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Anterior segment ischemia treated with hyperbaric oxygen.

M D de Smet¹, J Carruthers, M Lepawsky

¹Department of Ophthalmology, University of British Columbia, Vancouver.

Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie

|December 1, 1987

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This case study highlights hyperbaric oxygen therapy as a novel treatment for anterior segment ischemia following strabismus surgery in a dysthyroid patient. The treatment led to rapid symptom resolution without systemic steroids.

Area of Science:

Ophthalmology
Hyperbaric Medicine
Endocrinology

Background:

Dysthyroid ophthalmopathy can lead to complications after strabismus surgery.
Anterior segment ischemia is a rare but serious complication.
Systemic steroid therapy is a common treatment but has contraindications.

Observation:

A 62-year-old patient with dysthyroid ophthalmopathy developed anterior segment ischemia after vertical strabismus surgery.
The patient had a history of quiescent pulmonary tuberculosis, precluding systemic steroid use.
Hyperbaric oxygen therapy was administered in a controlled hospital environment.

Findings:

The patient tolerated hyperbaric oxygen therapy well.
Acute ischemic symptoms significantly improved within 3 days of treatment.

Related Experiment Videos

This represents the first reported use of hyperbaric oxygen for anterior segment ischemia.

Implications:

Hyperbaric oxygen therapy may be a viable alternative treatment for anterior segment ischemia, especially when steroids are contraindicated.
This case expands the understanding of anterior segment ischemia complications in dysthyroid patients undergoing strabismus surgery.
Further research is warranted to explore the efficacy and safety of hyperbaric oxygen in managing ocular ischemic conditions.