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Related Experiment Videos

Late hyphema after filtering surgery for glaucoma.

J T Wilensky

    Ophthalmic Surgery
    |March 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Spontaneous hyphemas can occur months after glaucoma surgery. Abnormal vessels at the surgical site were linked to bleeding, successfully treated with laser photocoagulation.

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    Area of Science:

    • Ophthalmology
    • Surgical Complications

    Background:

    • Glaucoma filtering surgery, such as trabeculectomy, is a common procedure to reduce intraocular pressure.
    • While generally safe, potential complications can arise post-operatively.

    Observation:

    • Four eyes across three patients presented with spontaneous hyphemas.
    • The onset of hyphema occurred between 8 months and 3 years after uncomplicated glaucoma surgery.

    Findings:

    • Two of the affected eyes showed abnormal vessels at the internal margin of the trabeculectomy opening.
    • Argon laser photocoagulation was an effective treatment for the hyphemas, with one case requiring multiple sessions.

    Implications:

    • This suggests a potential link between neovascularization at the trabeculectomy site and delayed-onset hyphema.

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  • Laser treatment can be a viable option for managing this specific complication of glaucoma surgery.