The Management of a Patient with Elevated Intraocular Pressure Resistant to Medical Treatment: Anterior Chamber Irrigation

A 7-year-old male patient was medically treated in another center for hyphema which occurred after blunt trauma to his right eye. He was admitted to our clinic when his visual acuity decreased after being discharged. Biomicroscopic examination revealed total hyphema. Intraocular pressure (IOP) was...

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Main Authors: Abdullah Beyoğlu, Şaban Gönül, Bengü Ekinci Köktekir, Şansal Gedik
Format: Article
Language:English
Published: Galenos Publishing House 2014-10-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access:http://www.oftalmoloji.org/article_7384/The-Management-Of-A-Patient-With-Elevated-Intraocular-Pressure-Resistant-To-Medical-Treatment-Anterior-Chamber-Irrigation
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author Abdullah Beyoğlu
Şaban Gönül
Bengü Ekinci Köktekir
Şansal Gedik
author_facet Abdullah Beyoğlu
Şaban Gönül
Bengü Ekinci Köktekir
Şansal Gedik
author_sort Abdullah Beyoğlu
collection DOAJ
description A 7-year-old male patient was medically treated in another center for hyphema which occurred after blunt trauma to his right eye. He was admitted to our clinic when his visual acuity decreased after being discharged. Biomicroscopic examination revealed total hyphema. Intraocular pressure (IOP) was 48 mm Hg in the right eye with Goldmann applanation tonometry. Since IOP could not be managed by medical therapy and there was no regression in hyphema, anterior chamber was irrigated. As in our case, it should not be forgotten that re-hemorrhage may occur in the first week of hyphema during childhood. Moreover, surgical treatment should be considered when hemorrhage does not regress with medical treatment, increased IOP persists, and when there is a risk of corneal endothelial staining (corneal blood staining). (Turk J Ophthalmol 2014; 44: 400-2)
format Article
id doaj-art-3a2c2d80240945faa461e58212bb1374
institution Kabale University
issn 1300-0659
2147-2661
language English
publishDate 2014-10-01
publisher Galenos Publishing House
record_format Article
series Türk Oftalmoloji Dergisi
spelling doaj-art-3a2c2d80240945faa461e58212bb13742025-08-20T03:55:41ZengGalenos Publishing HouseTürk Oftalmoloji Dergisi1300-06592147-26612014-10-0144540040210.4274/tjo.43179The Management of a Patient with Elevated Intraocular Pressure Resistant to Medical Treatment: Anterior Chamber IrrigationAbdullah Beyoğlu0Şaban Gönül1Bengü Ekinci Köktekir2 Şansal Gedik3Selçuk Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Konya, TürkiyeSelçuk Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Konya, TürkiyeSelçuk Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Konya, TürkiyeSelçuk Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Konya, TürkiyeA 7-year-old male patient was medically treated in another center for hyphema which occurred after blunt trauma to his right eye. He was admitted to our clinic when his visual acuity decreased after being discharged. Biomicroscopic examination revealed total hyphema. Intraocular pressure (IOP) was 48 mm Hg in the right eye with Goldmann applanation tonometry. Since IOP could not be managed by medical therapy and there was no regression in hyphema, anterior chamber was irrigated. As in our case, it should not be forgotten that re-hemorrhage may occur in the first week of hyphema during childhood. Moreover, surgical treatment should be considered when hemorrhage does not regress with medical treatment, increased IOP persists, and when there is a risk of corneal endothelial staining (corneal blood staining). (Turk J Ophthalmol 2014; 44: 400-2)http://www.oftalmoloji.org/article_7384/The-Management-Of-A-Patient-With-Elevated-Intraocular-Pressure-Resistant-To-Medical-Treatment-Anterior-Chamber-IrrigationTraumatotal hyphemaintraocular pressureanterior chamber irrigation
spellingShingle Abdullah Beyoğlu
Şaban Gönül
Bengü Ekinci Köktekir
Şansal Gedik
The Management of a Patient with Elevated Intraocular Pressure Resistant to Medical Treatment: Anterior Chamber Irrigation
Türk Oftalmoloji Dergisi
Trauma
total hyphema
intraocular pressure
anterior chamber irrigation
title The Management of a Patient with Elevated Intraocular Pressure Resistant to Medical Treatment: Anterior Chamber Irrigation
title_full The Management of a Patient with Elevated Intraocular Pressure Resistant to Medical Treatment: Anterior Chamber Irrigation
title_fullStr The Management of a Patient with Elevated Intraocular Pressure Resistant to Medical Treatment: Anterior Chamber Irrigation
title_full_unstemmed The Management of a Patient with Elevated Intraocular Pressure Resistant to Medical Treatment: Anterior Chamber Irrigation
title_short The Management of a Patient with Elevated Intraocular Pressure Resistant to Medical Treatment: Anterior Chamber Irrigation
title_sort management of a patient with elevated intraocular pressure resistant to medical treatment anterior chamber irrigation
topic Trauma
total hyphema
intraocular pressure
anterior chamber irrigation
url http://www.oftalmoloji.org/article_7384/The-Management-Of-A-Patient-With-Elevated-Intraocular-Pressure-Resistant-To-Medical-Treatment-Anterior-Chamber-Irrigation
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