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Abstract #19079 Published in IGR 3-1
Open-angle glaucoma secondary to blood clot in the Schlemm's canal following scleral buckle surgery and its treatment with tPA
Ayyala RS; Tran CN; Bellows AR; Hutchinson BTOphthalmic Surgery and Lasers 2001; 32: 145-148
Obstruction of the episceral venous system can present with glaucoma. The authors present two patients who were referred to them for management of acute glaucoma with presumed episceral venous compression. The first patient had open-angle glaucoma with probable elevated episcleral venous pressure and blood in the Schlemm's canal, following a 360° scleral buckle surgery. The second patient had open-angle glaucoma from delayed peribulbar hemorrhage following uncomplicated cataract surgery with blood in the Schlemm's canal. Both patients were successfully treated with intracameral injection with tissue plasminogen activator (tPA).
Dr R.S. Ayyala, Department of Ophthalmology, Tulane University Medical School, Louisiana Ophthalmic Consultants of Boston, Boston, MA, USA
Classification:
9.4.11.5 Glaucomas associated with vitreoretinal surgery (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)
