Drainage of subconjunctival hemorrhage through conjunctival lymphatic pathways
Purpose: To demonstrate the role of ocular lymphatic involvement in aiding the drainage and resolution of subconjunctival hemorrhage. Methods: We present the case of a 63-year-old Caucasian female who developed a subconjunctival hemorrhage following the administration of a subconjunctival anesthetic...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-09-01
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| Series: | American Journal of Ophthalmology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993625001215 |
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| author | Ashton Zheng-Boon Lau Grace YF. Tang William H. Morgan Geoffrey ZP. Chan |
| author_facet | Ashton Zheng-Boon Lau Grace YF. Tang William H. Morgan Geoffrey ZP. Chan |
| author_sort | Ashton Zheng-Boon Lau |
| collection | DOAJ |
| description | Purpose: To demonstrate the role of ocular lymphatic involvement in aiding the drainage and resolution of subconjunctival hemorrhage. Methods: We present the case of a 63-year-old Caucasian female who developed a subconjunctival hemorrhage following the administration of a subconjunctival anesthetic during cataract surgery. Intraoperative optical coherence tomography was utilized to image these structures within the deep and middle conjunctival-Tenon's space. Results: Subconjunctival hemorrhage was visualized and saccular blood-filled structures developed adjacent to sites of hemorrhage. Intraoperative optical coherence tomography confirmed the presence of blood within structures containing partitions reminiscent of valvular leaflets, indicating their lymphatic origin. Rapid resolution of the subconjunctival hemorrhage was noted during the immediate postoperative period. Conclusion: Subconjunctival hemorrhage may have its resolution assisted by conjunctival lymphatic vessels. Our findings confirm that lymphatic structures may play an under-appreciated role in assisting the clearance of macromolecules from the subconjunctival space. |
| format | Article |
| id | doaj-art-3c12241a80474b7d882b4e7cc8d70bd9 |
| institution | Kabale University |
| issn | 2451-9936 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj-art-3c12241a80474b7d882b4e7cc8d70bd92025-08-20T03:50:06ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362025-09-013910236810.1016/j.ajoc.2025.102368Drainage of subconjunctival hemorrhage through conjunctival lymphatic pathwaysAshton Zheng-Boon Lau0Grace YF. Tang1William H. Morgan2Geoffrey ZP. Chan3Centre for Ophthalmology and Visual Science, The University of Western Australia, Perth, Western Australia, AustraliaCentre for Ophthalmology and Visual Science, The University of Western Australia, Perth, Western Australia, Australia; Department of Ophthalmology, Fremantle and Fiona Stanley Fremantle Hospitals Group, Perth, Western Australia, AustraliaCentre for Ophthalmology and Visual Science, The University of Western Australia, Perth, Western Australia, Australia; Lions Eye Institute, Perth, Western Australia, AustraliaCentre for Ophthalmology and Visual Science, The University of Western Australia, Perth, Western Australia, Australia; Lions Eye Institute, Perth, Western Australia, Australia; Department of Ophthalmology, Fremantle and Fiona Stanley Fremantle Hospitals Group, Perth, Western Australia, Australia; Corresponding author. Lions Eye Institute, 2 Verdun Street, Nedlands, Perth, Western Australia 6009, Australia.Purpose: To demonstrate the role of ocular lymphatic involvement in aiding the drainage and resolution of subconjunctival hemorrhage. Methods: We present the case of a 63-year-old Caucasian female who developed a subconjunctival hemorrhage following the administration of a subconjunctival anesthetic during cataract surgery. Intraoperative optical coherence tomography was utilized to image these structures within the deep and middle conjunctival-Tenon's space. Results: Subconjunctival hemorrhage was visualized and saccular blood-filled structures developed adjacent to sites of hemorrhage. Intraoperative optical coherence tomography confirmed the presence of blood within structures containing partitions reminiscent of valvular leaflets, indicating their lymphatic origin. Rapid resolution of the subconjunctival hemorrhage was noted during the immediate postoperative period. Conclusion: Subconjunctival hemorrhage may have its resolution assisted by conjunctival lymphatic vessels. Our findings confirm that lymphatic structures may play an under-appreciated role in assisting the clearance of macromolecules from the subconjunctival space.http://www.sciencedirect.com/science/article/pii/S2451993625001215LymphaticsConjunctivaAqueous humorSubconjunctival hemorrhageBleb-forming surgery |
| spellingShingle | Ashton Zheng-Boon Lau Grace YF. Tang William H. Morgan Geoffrey ZP. Chan Drainage of subconjunctival hemorrhage through conjunctival lymphatic pathways American Journal of Ophthalmology Case Reports Lymphatics Conjunctiva Aqueous humor Subconjunctival hemorrhage Bleb-forming surgery |
| title | Drainage of subconjunctival hemorrhage through conjunctival lymphatic pathways |
| title_full | Drainage of subconjunctival hemorrhage through conjunctival lymphatic pathways |
| title_fullStr | Drainage of subconjunctival hemorrhage through conjunctival lymphatic pathways |
| title_full_unstemmed | Drainage of subconjunctival hemorrhage through conjunctival lymphatic pathways |
| title_short | Drainage of subconjunctival hemorrhage through conjunctival lymphatic pathways |
| title_sort | drainage of subconjunctival hemorrhage through conjunctival lymphatic pathways |
| topic | Lymphatics Conjunctiva Aqueous humor Subconjunctival hemorrhage Bleb-forming surgery |
| url | http://www.sciencedirect.com/science/article/pii/S2451993625001215 |
| work_keys_str_mv | AT ashtonzhengboonlau drainageofsubconjunctivalhemorrhagethroughconjunctivallymphaticpathways AT graceyftang drainageofsubconjunctivalhemorrhagethroughconjunctivallymphaticpathways AT williamhmorgan drainageofsubconjunctivalhemorrhagethroughconjunctivallymphaticpathways AT geoffreyzpchan drainageofsubconjunctivalhemorrhagethroughconjunctivallymphaticpathways |