A case of delayed recurrent hyphema following Implantable Collamer Lens (ICL) surgery
Purpose: To present a case of delayed recurrent hyphema following toric ICL implantation. Observations: This case reports a 24-year-old Asian female who presented with sudden decrease in vision in the right eye, accompanied by recurrent massive anterior chamber hemorrhage, six months after bilateral...
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Elsevier
2024-12-01
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| Series: | American Journal of Ophthalmology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993624001683 |
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| author | Hangjia Zuo Yonglin Chen Meiting Lin Hong Cheng Shijie Zheng Wenjuan Wan Ke Hu |
| author_facet | Hangjia Zuo Yonglin Chen Meiting Lin Hong Cheng Shijie Zheng Wenjuan Wan Ke Hu |
| author_sort | Hangjia Zuo |
| collection | DOAJ |
| description | Purpose: To present a case of delayed recurrent hyphema following toric ICL implantation. Observations: This case reports a 24-year-old Asian female who presented with sudden decrease in vision in the right eye, accompanied by recurrent massive anterior chamber hemorrhage, six months after bilateral implantation of toric ICL with central holes for myopia correction. Despite initial conservative treatment with immobilization and intraocular pressure (IOP)-lowering medication at another hospital, the hyphema persisted. At our hospital, her corrected visual acuity (CDVA) in the right eye was counting fingers (CF) at 50 cm, with visible blood clots and hyphema in the anterior chamber, and an IOP of 40 mmHg. Ultrabiomicroscopy (UBM) indicated a large amount of hyphema in the anterior chamber. Initially, the patient was treated with a combination of three IOP-lowering medications: brimonidine eye drops, brinzolamide eye drops, and timolol eye drops, but the condition recurred. Two weeks later, we performed an anterior chamber hyphema evacuation and ICL removal surgery in the right eye. Postoperatively, the patient's IOP stabilized and her vision gradually recovered. One month after the surgery, a follow-up examination showed a CDVA of LogMAR 0.6 in the affected eye. Conclusion and importance: This case report is essential for characterizing a rare and serious complication following toric ICL implantation, highlighting the importance of close monitoring and timely intervention. |
| format | Article |
| id | doaj-art-3e13f26120834ba6b3ad329cab397d41 |
| institution | OA Journals |
| issn | 2451-9936 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
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| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj-art-3e13f26120834ba6b3ad329cab397d412025-08-20T01:57:56ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362024-12-013610215810.1016/j.ajoc.2024.102158A case of delayed recurrent hyphema following Implantable Collamer Lens (ICL) surgeryHangjia Zuo0Yonglin Chen1Meiting Lin2Hong Cheng3Shijie Zheng4Wenjuan Wan5Ke Hu6Chongqing Medical University, Chongqing, PR ChinaChongqing Medical University, Chongqing, PR ChinaChongqing Medical University, Chongqing, PR ChinaChongqing Medical University, Chongqing, PR ChinaThe First Affiliated Hospital of Chongqing Medical University, Chongqing Key Laboratory of Prevention and Treatment on Major Blinding Diseases, Chongqing Eye Institute, Chongqing Branch (Municipality Division) of National Clinical Research Center for Ocular Diseases, Chongqing, 400016, PR ChinaThe First Affiliated Hospital of Chongqing Medical University, Chongqing Key Laboratory of Prevention and Treatment on Major Blinding Diseases, Chongqing Eye Institute, Chongqing Branch (Municipality Division) of National Clinical Research Center for Ocular Diseases, Chongqing, 400016, PR China; Chongqing Medical University, Chongqing, PR China; Corresponding author. The First Affiliated Hospital of Chongqing Medical University, Chongqing Key Laboratory of Prevention and Treatment on major blinding diseases, Chongqing Eye Institute, Chongqing Branch (Municipality Division) of National Clinical Research Center for Ocular Diseases, Chongqing, 400016, PR China.The First Affiliated Hospital of Chongqing Medical University, Chongqing Key Laboratory of Prevention and Treatment on Major Blinding Diseases, Chongqing Eye Institute, Chongqing Branch (Municipality Division) of National Clinical Research Center for Ocular Diseases, Chongqing, 400016, PR China; Chongqing Medical University, Chongqing, PR China; Corresponding author. The First Affiliated Hospital of Chongqing Medical University, Chongqing Key Laboratory of Prevention and Treatment on major blinding diseases, Chongqing Eye Institute, Chongqing Branch (Municipality Division) of National Clinical Research Center for Ocular Diseases, Chongqing, 400016, PR China.Purpose: To present a case of delayed recurrent hyphema following toric ICL implantation. Observations: This case reports a 24-year-old Asian female who presented with sudden decrease in vision in the right eye, accompanied by recurrent massive anterior chamber hemorrhage, six months after bilateral implantation of toric ICL with central holes for myopia correction. Despite initial conservative treatment with immobilization and intraocular pressure (IOP)-lowering medication at another hospital, the hyphema persisted. At our hospital, her corrected visual acuity (CDVA) in the right eye was counting fingers (CF) at 50 cm, with visible blood clots and hyphema in the anterior chamber, and an IOP of 40 mmHg. Ultrabiomicroscopy (UBM) indicated a large amount of hyphema in the anterior chamber. Initially, the patient was treated with a combination of three IOP-lowering medications: brimonidine eye drops, brinzolamide eye drops, and timolol eye drops, but the condition recurred. Two weeks later, we performed an anterior chamber hyphema evacuation and ICL removal surgery in the right eye. Postoperatively, the patient's IOP stabilized and her vision gradually recovered. One month after the surgery, a follow-up examination showed a CDVA of LogMAR 0.6 in the affected eye. Conclusion and importance: This case report is essential for characterizing a rare and serious complication following toric ICL implantation, highlighting the importance of close monitoring and timely intervention.http://www.sciencedirect.com/science/article/pii/S2451993624001683Recurrent hyphemaUGH syndromeIntraocular lens iris chafing syndromeToric ICL implantation |
| spellingShingle | Hangjia Zuo Yonglin Chen Meiting Lin Hong Cheng Shijie Zheng Wenjuan Wan Ke Hu A case of delayed recurrent hyphema following Implantable Collamer Lens (ICL) surgery American Journal of Ophthalmology Case Reports Recurrent hyphema UGH syndrome Intraocular lens iris chafing syndrome Toric ICL implantation |
| title | A case of delayed recurrent hyphema following Implantable Collamer Lens (ICL) surgery |
| title_full | A case of delayed recurrent hyphema following Implantable Collamer Lens (ICL) surgery |
| title_fullStr | A case of delayed recurrent hyphema following Implantable Collamer Lens (ICL) surgery |
| title_full_unstemmed | A case of delayed recurrent hyphema following Implantable Collamer Lens (ICL) surgery |
| title_short | A case of delayed recurrent hyphema following Implantable Collamer Lens (ICL) surgery |
| title_sort | case of delayed recurrent hyphema following implantable collamer lens icl surgery |
| topic | Recurrent hyphema UGH syndrome Intraocular lens iris chafing syndrome Toric ICL implantation |
| url | http://www.sciencedirect.com/science/article/pii/S2451993624001683 |
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