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Abstract #5355 Published in IGR 1-2

Hyphema associated with pupillary dilation in a patient with exfoliation glaucoma and warfarin therapy

Greenfield DS; Liebmann JM; Ritch R
American Journal of Ophthalmology 1999; 128: 98-100


PURPOSE: To describe an unusual hemorrhagic complication associated with pupillary dilation in a patient with exfoliation glaucoma taking anticoagulation therapy. METHODS: A 78-year-old woman with bilateral exfoliation glaucoma who was receiving warfarin, 2 mg daily, for systemic anticoagulation developed acute visual loss in the right eye several hours after pupillary dilation. RESULTS: Examination disclosed bilateral advanced exfoliation glaucoma, localized vascularized iridolenticular adhesions in the right eye, and a 4-mm layered hyphema in the right eye. CONCLUSION: Patients with exfoliation glaucoma and vascularized posterior synechiae who are receiving anticoagulation therapy are at increased risk for visually significant spontaneous hyphema after pupillary dilation.

Dr. D.S. Greenfield, Clinical Ophthalmology, Bascom Palmer Eye Institute, 7108 Fairway Dr, Palm Beach Gardens, FL 33418; United States


Classification:

9.4.4.1 Exfoliation syndrome (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)



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