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Hyphema after peribulbar anesthesia for cataract surgery in Fuchs' heterochromic iridocyclitis
1Department of Ophthalmology, Federal University of São Paulo, Paulista School of Medicine, São Paulo Hospital, Brazil.
Purpose:
To describe an unusual ocular sign in one patient with Fuchs' heterochromic iridocyclitis at cataract surgery.
Methods:
We describe a patient with Fuchs' heterochromic iridocyclitis and cataract who developed a 1 mm hyphema observed two minutes after peribulbar anesthesia for cataract surgery.
Results:
The patient was found to have an equivalent of the Amsler-Verrey sign. It appeared after peribulbar anesthesia and before any instrument touched the globe. It did not interfere with surgery and disappeared completely by day 2.
Conclusion:
The appearance of a hyphema after peribulbar anesthesia in Fuchs' heterochromic iridocyclitis is an unusual sign that may have the same pathophysiology as the Amsler-Verrey sign.