Eight-ball hyphema after laser iridotomy in a patient with undiagnosed hypocellular myelodysplastic syndrome
- Resource Type
- Authors
- Suthaphat Nilphatanakorn; Chaiwat Teekhasaenee; Yanin Suwan; Sira Arunmongkol; Wasu Supakontanasan
- Source
- International Medical Case Reports Journal
- Subject
- full-thickness trabeculectomy
0301 basic medicine
medicine.medical_specialty
medicine.medical_treatment
Case Report
03 medical and health sciences
0302 clinical medicine
Laser iridotomy
Ophthalmology
Cornea
medicine
Trabeculectomy
Blood test
Hyphema
medicine.diagnostic_test
business.industry
Hypocellular Myelodysplastic Syndrome
General Medicine
medicine.disease
primary angle-closure
eye diseases
gross hyphema
030104 developmental biology
medicine.anatomical_structure
030221 ophthalmology & optometry
Eight-ball hyphema
Bleb (medicine)
business
goniosynechialysis
- Language
- ISSN
- 1179-142X
Introduction We report a rare case of unexpected gross hyphema in the right eye (OD) and eight-ball hyphema in the left eye (OS) from a bilateral laser iridotomy in an acute primary angle-closure patient. We also demonstrated the effectiveness of the inferior full-thickness trabeculectomy with daily intracameral air injection as an alternative treatment in eight-ball hyphema. Case report An 81-year-old Thai female presented with gross hyphema grade II OD and eight-ball hyphema with blood-stained cornea OS after laser iridotomy. The patient was scheduled for surgery and the preoperative blood test showed bicytopenia. We performed anterior chamber washout OD and an inferior full-thickness trabeculectomy with daily intracameral air injection OS. The hyphema completely resolved on the following day OD and 3 days after surgery OS. The inferior bleb OS did not raise with digital pressure and became nonfunctional in 7 days. No recurrent hyphema was found in both eyes (OU) during 6 months of follow-up. This patient was ultimately diagnosed with hypocellular myelodysplastic syndrome (MDS). Conclusion Gross hyphema after laser iridotomy can be seen in patients with hypocellular MDS. The inferior full-thickness trabeculectomy is an alternative surgical procedure for an eight-ball hyphema.