Use of Viscoelastic Substance in Longstanding Recurrent Hyphema Patient.

Lee, Choon Oh; Kim, Yong Je

Original Article

Journal of the Korean Ophthalmological Society 1995;36(9):1624-1627.
Published online September 1, 1995.

Use of Viscoelastic Substance in Longstanding Recurrent Hyphema Patient.

Choon Oh Lee, Yong Je Kim

Department of Ophthalmology, College of Medicine, University of Ulsan, Asan Medical Center, Seoul, Korea.

반복성 전방 재출현 환자에서 점탄물을 이용한 치료 경험

이춘오(Choon Oh Lee),김용제(Yong Je Kim)

Abstract

Rebleeding in traumatic hyphema may cause several complications in the affected eye, and specific treatment of recurrent hyphema is still not estabilished and only conservative medical treatments are used except for surgical evacuation of the clot in case of persistent high intraocular pressure. We treated longstanding recurrent hyphema patient unresponsive to conventional medical treatment, with viscoeleastic substance which was injucted into anterior chamber. A large dose(0.2CC) of viscoelastic substance sufficient to directly compress the anterior structures(Iris, ciliary body) was injected and subsequently it increased the intraocular pressur gradually. We assume that these tamponade effect by the viscoelastic substance and later intraocular pressure rise was responsible for the therapeutic effect. Thus, viscoelastic injection into anterior chamber in longstanding recu.rrent hyphema patient may be a useful treatment.

Key Words: Recurrent hyphema;viscoelastic substance;Intraocular pressure rise