Acute angle-closure glaucoma resulting from spontaneous hemorrhagic retinal detachment in age-related macular degeneration: Case reports and literature review

San Ni Chen, Cheng Lien Ho, Jau Der Ho, Ya Hui Guo, Tun Lu Chen, Ping Fan Chen

研究成果: 雜誌貢獻文章

13 引文 (Scopus)

摘要

Purpose: Acute angle-closure glaucoma resulting from massive subretinal hemorrhage is a rare and catastrophic complication in age-related macular degeneration. Anticoagulant usage had been strongly correlated with this complication in previously reported cases. Methods: Four patients (4 eyes), 3 men and 1 woman, developed angle-closure glaucoma with diffuse subretinal hemorrhage and total hemorrhagic retinal detachment. Results: Serial funduscopic examinations and echographic studies in 2 eyes showed that the blood gradually accumulated in the subretinal space. It took more than 10 days for the bleeding to build up to bullous hemorrhagic retinal detachment and secondary glaucoma. Anti-glaucomatous agents were given and sclerotomy was performed in 3 of the 4 patients. Phthisical changes were observed subsequently in these 3 eyes. The eye that received early drainage of blood was an exception, and a small degree of residual acuity was retained. Three of the 4 patients had diabetes mellitus, and hypertension and vascular diseases were also present in the same 3 patients. Conclusions: Diabetes mellitus might be a predisposing factor for the impaired hemostasis. Anti-glaucomatous agents were of no effect in the management of intraocular pressure. Sclerotomy and drainage of blood help control intraocular pressure and relieve ocular pain. Poor final visual acuity is inevitable. However, phthisical changes might be prevented with early sclerotomy and drainage of blood.

原文英語
頁(從 - 到)270-275
頁數6
期刊Japanese Journal of Ophthalmology
45
發行號3
DOIs
出版狀態已發佈 - 五月 2001
對外發佈Yes

指紋

Angle Closure Glaucoma
Macular Degeneration
Retinal Detachment
Drainage
Hemorrhage
Intraocular Pressure
Diabetes Mellitus
Eye Pain
Hemostasis
Vascular Diseases
Causality
Glaucoma
Anticoagulants
Visual Acuity
Hypertension

ASJC Scopus subject areas

  • Ophthalmology

引用此文

Acute angle-closure glaucoma resulting from spontaneous hemorrhagic retinal detachment in age-related macular degeneration : Case reports and literature review. / Chen, San Ni; Ho, Cheng Lien; Ho, Jau Der; Guo, Ya Hui; Chen, Tun Lu; Chen, Ping Fan.

於: Japanese Journal of Ophthalmology, 卷 45, 編號 3, 05.2001, p. 270-275.

研究成果: 雜誌貢獻文章

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AB - Purpose: Acute angle-closure glaucoma resulting from massive subretinal hemorrhage is a rare and catastrophic complication in age-related macular degeneration. Anticoagulant usage had been strongly correlated with this complication in previously reported cases. Methods: Four patients (4 eyes), 3 men and 1 woman, developed angle-closure glaucoma with diffuse subretinal hemorrhage and total hemorrhagic retinal detachment. Results: Serial funduscopic examinations and echographic studies in 2 eyes showed that the blood gradually accumulated in the subretinal space. It took more than 10 days for the bleeding to build up to bullous hemorrhagic retinal detachment and secondary glaucoma. Anti-glaucomatous agents were given and sclerotomy was performed in 3 of the 4 patients. Phthisical changes were observed subsequently in these 3 eyes. The eye that received early drainage of blood was an exception, and a small degree of residual acuity was retained. Three of the 4 patients had diabetes mellitus, and hypertension and vascular diseases were also present in the same 3 patients. Conclusions: Diabetes mellitus might be a predisposing factor for the impaired hemostasis. Anti-glaucomatous agents were of no effect in the management of intraocular pressure. Sclerotomy and drainage of blood help control intraocular pressure and relieve ocular pain. Poor final visual acuity is inevitable. However, phthisical changes might be prevented with early sclerotomy and drainage of blood.

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