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Hyphema Complicating Laser Iridotomy

Hyphema Complicating Laser Iridotomy Abstract • Hyphema resulting from a laser iridotomy (iridectomy) occurred in a patient with chronic subclinical angle closure glaucoma. This complication has been described previously in patients with rubeosis iridis and uveitis and in patients receiving anticoagulant drugs, but to our knowledge, this is the first report of a hyphema resulting from a laser iridotomy in a patient having no known predisposing pathological condition, either ocular or systemic. While no complications of hyphema were encountered in this patient, we recommend that this rare complication be kept in mind whenever a laser iridotomy is contemplated. References 1. Meyer-Schwickerath G: Erfahrungen mit der Lichtkoagulation der Netzhaut und der Iris . Doc Ophthalmol 1956;10:91-131. 2. Podos SM, Kels BD, Moss AP, et al: Continuous wave argon laser iridectomy in angleclosure glaucoma . Am J Ophthalmol 1979;88:836-842. 3. Schwartz LW, Rodriques MM, Speath GL, et al: Argon laser iridotomy in the treatment of patients with primary angle-closure glaucoma or pupillary block glaucoma: A clinicopathologic study . Ophthalmology 1978;85:294-309.Crossref 4. Pollack IP, Patz A: Argon laser iridotomy: An experimental and clinical study . Ophthalmic Surg 1976;7:22-30. 5. Beckman H, Sugar HS: Laser iridectomy therapy of glaucoma . Arch Ophthalmol 1973;90:453-455.Crossref 6. Perkins ES, Brown NAP: Iridotomy with a ruby laser . Br J Ophthalmol 1973;57:487-498.Crossref 7. Abraham RK, Miller GL: Outpatient argon laser iridectomy for angle closure glaucoma: A two-year study . Trans Am Acad Ophthalmol Otolaryngol , 1975;79:OP-529-OP-538. 8. Pollack IP: Use of argon laser energy to produce iridotomies . Trans Am Ophthalmol Soc 1979;77:674-706. 9. Abraham RK: Protocol for single-session argon laser iridectomy for angle-closure glaucoma . Int Ophthalmol Clin 1981;21:145-166.Crossref 10. Khuri CH: Argon laser iridectomies . Am J Ophthalmol 1973;76:490-493. 11. Hogan MJ, Schwartz A: Experimental photocoagulation of the iris of guinea pigs: A pilot study , abstracted. Am J Ophthalmol 1960;49:629-630. 12. Zweng HC, Flocks M, Kapany NS, et al: Experimental laser photocoagulation . Am J Ophthalmol 1964;58:353-362. 13. Campbell CJ, Rittler MC, Innis RE, et al: Ocular effects produced by experimental lasers: III. Neodymium laser . Am J Ophthalmol 1968;66:614-632. 14. Snyder WB: Laser coagulation of the anterior segment . Arch Ophthalmol 1967;77:93-98.Crossref 15. Vucicevic ZM, Webb ND: YAG laser . Trans Am Acad Ophthalmol Otolaryngol 1976;81:OP-945-OP-946. 16. L'Esperance FA, James WA: Argon laser photocoagulation of iris abnormalities . Trans Am Acad Ophthalmol Otolaryngol 1975;79:OP-321-OP-339. 17. Thomas NE, Morse PH: Anterior segment complications of argon laser therapy . Ann Ophthalmol 1976;8:299-301. 18. Pollack IP: Laser iridotomy: Current concepts in technique and safety . Int Ophthalmol Clin 1981;21:137-144.Crossref 19. Snyder WB, Vaiser A, Hutton WL: Laser iridectomy . Trans Am Acad Ophthalmol Otolaryngol 1975;79:OP-381-OP-386. 20. Duke-Elder S: The Anatomy of the Visual System, vol 2, in System of Ophthalmology . St Louis, CV Mosby Co, 1972, pp 174-175, 348, 359. 21. Unger WG, Brown NAP, Edwards J: Response of the human eye to laser irradiation of the iris . Br J Ophthalmol 1977;61:148-153.Crossref 22. Simmons RJ, Dueker DK, Kimbrough RL, et al: Goniophotocoagulation for neovascular glaucoma . Trans Am Acad Ophthalmol Otolaryngol 1977;83:80-89. 23. Duke-Elder S: Injuries, vol 14, in System of Ophthalmology . St Louis, CV Mosby Co, 1972, pp 83-85, 93-100. 24. Rakusin W: Traumatic hyphema . Am J Ophthalmol 1973;75:110-116. 25. Edwards WC, Layden WE: Traumatic hyphema: A report of 184 consecutive cases . Am J Ophthalmol 1972;74:284-292. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1982.01030030932005
Publisher site
See Article on Publisher Site

Abstract

Abstract • Hyphema resulting from a laser iridotomy (iridectomy) occurred in a patient with chronic subclinical angle closure glaucoma. This complication has been described previously in patients with rubeosis iridis and uveitis and in patients receiving anticoagulant drugs, but to our knowledge, this is the first report of a hyphema resulting from a laser iridotomy in a patient having no known predisposing pathological condition, either ocular or systemic. While no complications of hyphema were encountered in this patient, we recommend that this rare complication be kept in mind whenever a laser iridotomy is contemplated. References 1. Meyer-Schwickerath G: Erfahrungen mit der Lichtkoagulation der Netzhaut und der Iris . Doc Ophthalmol 1956;10:91-131. 2. Podos SM, Kels BD, Moss AP, et al: Continuous wave argon laser iridectomy in angleclosure glaucoma . Am J Ophthalmol 1979;88:836-842. 3. Schwartz LW, Rodriques MM, Speath GL, et al: Argon laser iridotomy in the treatment of patients with primary angle-closure glaucoma or pupillary block glaucoma: A clinicopathologic study . Ophthalmology 1978;85:294-309.Crossref 4. Pollack IP, Patz A: Argon laser iridotomy: An experimental and clinical study . Ophthalmic Surg 1976;7:22-30. 5. Beckman H, Sugar HS: Laser iridectomy therapy of glaucoma . Arch Ophthalmol 1973;90:453-455.Crossref 6. Perkins ES, Brown NAP: Iridotomy with a ruby laser . Br J Ophthalmol 1973;57:487-498.Crossref 7. Abraham RK, Miller GL: Outpatient argon laser iridectomy for angle closure glaucoma: A two-year study . Trans Am Acad Ophthalmol Otolaryngol , 1975;79:OP-529-OP-538. 8. Pollack IP: Use of argon laser energy to produce iridotomies . Trans Am Ophthalmol Soc 1979;77:674-706. 9. Abraham RK: Protocol for single-session argon laser iridectomy for angle-closure glaucoma . Int Ophthalmol Clin 1981;21:145-166.Crossref 10. Khuri CH: Argon laser iridectomies . Am J Ophthalmol 1973;76:490-493. 11. Hogan MJ, Schwartz A: Experimental photocoagulation of the iris of guinea pigs: A pilot study , abstracted. Am J Ophthalmol 1960;49:629-630. 12. Zweng HC, Flocks M, Kapany NS, et al: Experimental laser photocoagulation . Am J Ophthalmol 1964;58:353-362. 13. Campbell CJ, Rittler MC, Innis RE, et al: Ocular effects produced by experimental lasers: III. Neodymium laser . Am J Ophthalmol 1968;66:614-632. 14. Snyder WB: Laser coagulation of the anterior segment . Arch Ophthalmol 1967;77:93-98.Crossref 15. Vucicevic ZM, Webb ND: YAG laser . Trans Am Acad Ophthalmol Otolaryngol 1976;81:OP-945-OP-946. 16. L'Esperance FA, James WA: Argon laser photocoagulation of iris abnormalities . Trans Am Acad Ophthalmol Otolaryngol 1975;79:OP-321-OP-339. 17. Thomas NE, Morse PH: Anterior segment complications of argon laser therapy . Ann Ophthalmol 1976;8:299-301. 18. Pollack IP: Laser iridotomy: Current concepts in technique and safety . Int Ophthalmol Clin 1981;21:137-144.Crossref 19. Snyder WB, Vaiser A, Hutton WL: Laser iridectomy . Trans Am Acad Ophthalmol Otolaryngol 1975;79:OP-381-OP-386. 20. Duke-Elder S: The Anatomy of the Visual System, vol 2, in System of Ophthalmology . St Louis, CV Mosby Co, 1972, pp 174-175, 348, 359. 21. Unger WG, Brown NAP, Edwards J: Response of the human eye to laser irradiation of the iris . Br J Ophthalmol 1977;61:148-153.Crossref 22. Simmons RJ, Dueker DK, Kimbrough RL, et al: Goniophotocoagulation for neovascular glaucoma . Trans Am Acad Ophthalmol Otolaryngol 1977;83:80-89. 23. Duke-Elder S: Injuries, vol 14, in System of Ophthalmology . St Louis, CV Mosby Co, 1972, pp 83-85, 93-100. 24. Rakusin W: Traumatic hyphema . Am J Ophthalmol 1973;75:110-116. 25. Edwards WC, Layden WE: Traumatic hyphema: A report of 184 consecutive cases . Am J Ophthalmol 1972;74:284-292.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jun 1, 1982

References