Which patient with hyphaema is at risk of glaucoma? Answer Those with large hyphaema, rebleeding and patients with sickle cell anaemia. In patient with sickle cell anaemia, the distorted red blood cells impair their movement through the trabecular meshwork and consequently they clogged up the drainage system. Most hyphaema settled with medical treatment. However, some hyphaema may require surgical management. Tell me when is this necessary? Answer Patient with black ball hyphaema in which the anterior chamber is clotted with blood. Increased intraocular pressure of >50mmHg for 5 days or >35 mmHg for 7 days. Treatment reduces the risk of glaucoma damage. Corneal blood staining. What surgical techniques may be used ? Answer Anterior paracentesis and washout if the blood is not clotted If clotting occurs use clot expression with limbal delivery alternatively removes the clot with a vitrectomy instrument. More questions
Which patient with hyphaema is at risk of glaucoma?
Most hyphaema settled with medical treatment. However, some hyphaema may require surgical management. Tell me when is this necessary?
What surgical techniques may be used ?
