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Recurrent Traumatic Hyphema: A Sequel of Injury to the Schlemm Canal

Recurrent Traumatic Hyphema: A Sequel of Injury to the Schlemm Canal Abstract • A patient with recurrent hyphema following blunt trauma to the left eye was found to have an angle recession with a laceration of the trabecular meshwork and Schlemm canal. Active bleeding from the Schlemm canal proved to be the cause of the recurrent hyphema. Repeated trials of bed rest and bilateral eye patching provided only temporary control of the bleeding. Cessation of the active bleeding and subsequent resolution of the hyphema was achieved following argon laser photocoagulation to the traumatized portion of the Schlemm canal. While hyphema is a common manifestation of blunt ocular trauma, visible rupture of the Schlemm canal is most unusual. This paper describes the gonioscopic findings of a rupture of the Schlemm canal in a patient who had a traumatic hyphema and recurrent bleeding. (Arch Ophthalmol 95:484-485, 1977) References 1. Thorkilgaard O, Moestrup B: Contussion angle deformity, its incidence and appearance . Acta Ophthalmol 45:51-55, 1967.Crossref 2. Duke-Elder S, Mac Faul PA (eds): Traumatic hyphema , in System of Ophthalmology: Mechanical Injuries . St. Louis, CV Mosby Co, 1972, vol 14, (part 1) , pp 93-101. 3. Chandler PA, Grant WM: Glaucoma from contusion of the eye , in Lectures of Glaucoma . Philadelphia, Lea & Febiger, 1965, p 221. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Recurrent Traumatic Hyphema: A Sequel of Injury to the Schlemm Canal

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Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1977.04450030126019
Publisher site
See Article on Publisher Site

Abstract

Abstract • A patient with recurrent hyphema following blunt trauma to the left eye was found to have an angle recession with a laceration of the trabecular meshwork and Schlemm canal. Active bleeding from the Schlemm canal proved to be the cause of the recurrent hyphema. Repeated trials of bed rest and bilateral eye patching provided only temporary control of the bleeding. Cessation of the active bleeding and subsequent resolution of the hyphema was achieved following argon laser photocoagulation to the traumatized portion of the Schlemm canal. While hyphema is a common manifestation of blunt ocular trauma, visible rupture of the Schlemm canal is most unusual. This paper describes the gonioscopic findings of a rupture of the Schlemm canal in a patient who had a traumatic hyphema and recurrent bleeding. (Arch Ophthalmol 95:484-485, 1977) References 1. Thorkilgaard O, Moestrup B: Contussion angle deformity, its incidence and appearance . Acta Ophthalmol 45:51-55, 1967.Crossref 2. Duke-Elder S, Mac Faul PA (eds): Traumatic hyphema , in System of Ophthalmology: Mechanical Injuries . St. Louis, CV Mosby Co, 1972, vol 14, (part 1) , pp 93-101. 3. Chandler PA, Grant WM: Glaucoma from contusion of the eye , in Lectures of Glaucoma . Philadelphia, Lea & Febiger, 1965, p 221.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Mar 1, 1977

References