Hyphema
To the editor
Omni surgical system reduces IOP, glaucoma medications at 6 months
Surgical evacuation may be needed for non-clearing hyphema
All ophthalmologists have seen a hyphema: blood in the anterior chamber, often after significant ocular trauma. In many cases, this blood is just a small amount, and it resolves over the course of days to weeks as aqueous in the anterior chamber turns over. In some situations, however, the hyphema can be so severe that it nearly completely fills the anterior chamber and creates a large clot that does not clear without surgical intervention.
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VIDEO: ODs can help manage glaucoma surgical patients in the short term
LAS VEGAS – Justin Schweitzer, OD, said here at Vision Expo West that the increase in the number of glaucoma patients necessitates optometrists’ involvement in both long- and short-term postoperative management. ODs must monitor patients who underwent minimally invasive glaucoma surgery for hyphema, hypotony and IOP spikes. In addition, glaucoma medications should be removed one at a time, after 1 week, once target pressure is met.