April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
An Office-Based Procedure for Hyphema Treatment
Author Affiliations & Notes
  • Divya Sadhwani
    University of Central Florida, Orlando, FL
  • Mikelson MomPremier
    Department of Ophthalmology, Howard University, Washington, DC
  • Saad Shaikh
    Orlando VA Medical Center, Orlando, FL
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 2330. doi:
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      Divya Sadhwani, Mikelson MomPremier, Saad Shaikh; An Office-Based Procedure for Hyphema Treatment. Invest. Ophthalmol. Vis. Sci. 2014;55(13):2330.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract
 
Purpose
 

To describe a novel surgical technique for in-office treatment of hyphema.

 
Methods
 

Retrospective non comparative case series. 3 cases of hyphema in three different eyes treated in office using an anterior chamber gas fluid exchange technique were analyzed.

 
Results
 

Hyphemas were associated with complications of underlying systemic and retinal disease and occurred in the postoperative period of other vitreoretinal surgical procedures. All patients’ hyphemas were succesfully treated using the described procedure. No patients required operating room surgery. One patient required repeat in office air fluid exchange. Another received concomitant anterior chamber bevacizumab injection as adjuvant therapy for iris neovascularization.

 
Conclusions
 

The method described appears to be a safe and effective procedure to treat hyphemas in certain patient populations.

 
 
Figure 1a: Entry into the anterior chamber superiorly with gas filled syringe. Figure 1b: After partial gas injection, entry in to the deepened anterior chamber inferiorly with evacuation syringe, plunger removed.
 
Figure 1a: Entry into the anterior chamber superiorly with gas filled syringe. Figure 1b: After partial gas injection, entry in to the deepened anterior chamber inferiorly with evacuation syringe, plunger removed.
 
 
Figure 2a: Evacuation of hyphema with complete or near compete anterior chamber gas fluid exchange. Figure 2b: Inferior needle removed while superior gas filled syringe is used to equilibrate intraocular pressure.
 
Figure 2a: Evacuation of hyphema with complete or near compete anterior chamber gas fluid exchange. Figure 2b: Inferior needle removed while superior gas filled syringe is used to equilibrate intraocular pressure.
 
Keywords: 421 anterior segment • 465 clinical (human) or epidemiologic studies: systems/equipment/techniques  
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