Massive Hyphaema Following Laser Iridotomy in a Patient on Dual Antiplatelet Therapy (Aspirin plus Ticagrelor): Case report and literature review
Journal Title: Sultan Qaboos University Medical Journal - Year 2019, Vol 19, Issue 1
Abstract
Massive hyphaema presentation after a laser iridotomy is very rare. We report a 63-year-old man with ischaemic heart disease on dual antiplatelet therapy (aspirin plus ticagrelor) who was diagnosed as a primary angle-closure suspect and was to undergo a neodymium-doped yttrium aluminium garnet laser iridotomy at Centro Oftalmológico Virgilio Galvis, Floridablanca, Colombia in 2016. While performing the iridotomy in the left eye, active bleeding occurred that finally filled approximately 75% of the anterior chamber. Intraocular pressure (IOP) increased to 62 mmHg. Mannitol and a topical dorzolamide/timolol were used to control the increase in IOP. The hyphaema slowly resolved over the following week without sequelae. This case revealed that massive hyphaema can complicate laser iridotomy in patients on dual antiplatelet therapy, although this is rare. Therefore, if patients are taking aspirin and ticagrelor, it would be advisable to stop the second medication if possible. In addition, sequential application of photocoagulation and photodisruption lasers might diminish the risk of significant bleeding.
Authors and Affiliations
Virgilio Galvis, Alejandro Tello, Néstor I. Carreño, Walter A. Sánchez, Gabriel A. Frederick, Nicolás A. Blanco
Keywords
Related Articles
- EP ID EP43102
- DOI http://dx.doi.org/10.18295/squmj.2019.19.01.012
- Views 277
- Downloads 0
Suture Artefacts Explored through polarising microscope
Ossification of Superior Transverse Scapular Ligament and its Clinical Implications
Te superior transverse scapular ligament (STSL) bridges the suprascapular notch, converting it into a suprascapular foramen. Te suprascapular nerves and the vessels traverse through the suprascapular foramen of the scap...
Maternal and Fetal Outcomes of Triplet Gestation in a Tertiary Hospital in Oman
Objectives: Te aim of this study was to describe the fetal and maternal outcomes of triplet gestation and to report on the maternal characteristics of those pregnancies in a tertiary care centre in Oman. Methods: A ret...
Validity of the Demirjian and Fishman Methods for Predicting Chronological Age Amongst Yemeni Children
Objectives: There has been an increasing need for reliable chronological age (CA) estimation in several aspects, including orthodontic treatment needs and legal, civil and forensic purposes. This study aimed to assess th...
Complementary and Alternative Medicine Where do we stand in the 21st century?