Bimanual bipolar diathermy for recurrent hyphema after anterior segment intraocular surgery

J Cataract Refract Surg. 2004 Sep;30(9):2017-20. doi: 10.1016/j.jcrs.2004.01.025.

Abstract

Phacoemulsification with mechanical pupil dilation was performed on a functionally monocular glaucoma patient with pseudoexfoliation syndrome. The postoperative course was complicated by persistent intraocular hemorrhaging from the pupil margin in multiple locations that ceased temporarily with a marked elevation in intraocular pressure (IOP). Normalization of IOP with medication or paracentesis resulted in recurrent bleeding and a subsequent increase in IOP elevation. Surgical intervention using bipolar diathermy was required to control the bleeding and the elevated IOP. A bimanual approach allowed the corrective procedure to be performed in a simple and efficacious manner.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anterior Eye Segment / surgery*
  • Diathermy / methods*
  • Exfoliation Syndrome / complications
  • Female
  • Glaucoma / complications
  • Humans
  • Hyphema / etiology
  • Hyphema / surgery*
  • Intraocular Pressure
  • Lens Implantation, Intraocular*
  • Phacoemulsification*
  • Postoperative Complications*
  • Recurrence