| Gonioaspiration for refractory glaucoma secondary to traumatic hyphema in patients with sickle cell trait. | |
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MedLine Citation:
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PMID: 20507026 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The authors describe a new surgical method for treating disproportionately high intraocular pressures secondary to small traumatic hyphemas in three patients with the sickle cell trait. A novel technique was performed in all three cases to clear the hyphema from the anterior chamber angle. A Lewicky anterior chamber maintainer cannula was placed at the superior limbus to maintain infusion into the anterior chamber. Under direct visualization using a Koeppe goniotomy lens, a 23-gauge single-port cannula was used to aspirate the hyphema from the anterior chamber angle until it was free of blood. There were no intraoperative complications. Measurements of intraocular pressure were normal 2 hours after the procedure and at every subsequent visit. There was an improvement in visual acuity to 6/9 or better in all three of the cases. Therefore, gonioaspiration is an effective treatment of persistently raised intraocular pressures in patients with sickle cell trait. |
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Authors:
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Pravin Pandey; Velota C T Sung |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye Volume: 41 ISSN: 1542-8877 ISO Abbreviation: Ophthalmic Surg Lasers Imaging Publication Date: 2010 May-Jun |
Date Detail:
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Created Date: 2010-05-28 Completed Date: 2010-07-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101155780 Medline TA: Ophthalmic Surg Lasers Imaging Country: United States |
Other Details:
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Languages: eng Pagination: 386-9 Citation Subset: IM |
Copyright Information:
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Copyright 2010, SLACK Incorporated. |
Affiliation:
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Birmingham and Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, United Kingdom. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anterior Chamber / surgery* Catheterization / methods Child Eye Injuries / complications* Filtering Surgery / methods* Follow-Up Studies Glaucoma / etiology, physiopathology, surgery* Humans Hyphema / complications* Intraocular Pressure Male Sickle Cell Trait / complications* Suction / methods Visual Acuity Wounds, Nonpenetrating / complications* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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