Treatment of vascular tufts at the pupillary margin before cataract surgery
| Autor: | M. Winnick, E. Margalit, Walter J. Stark, A. P. Schachat |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Intraocular pressure Letter genetic structures business.industry medicine.medical_treatment Intraocular lens Cataract surgery Trunk eye diseases Sensory Systems Surgery body regions Cellular and Molecular Neuroscience Ophthalmology medicine.anatomical_structure medicine sense organs Eyelid Iris (anatomy) business Orbit (anatomy) Homatropine Hydrobromide |
| Popis: | Iris vascular tufts or microhaemangiomas are an infrequent finding on ophthalmic evaluation. Previous reports have attributed vascular tufts at the papillary margin of the iris to diabetes, myotonic dystrophy,1 in association with Sturge-Weber syndrome,2 or in association with haemangioma of the orbit or eyelid. We describe a patient with multiple cutaneous and iris margin haemangiomas who had a history of recurrent hyphaema and underwent successful argon laser treatment of pupillary margin haemangiomas before extracapsular cataract extraction with intraocular lens implantation. The patient is a 75 year old man first seen 2 years earlier by the retinovascular service at the Wilmer Eye Institute, Baltimore, MD, USA, for recurrent hyphaema in the left eye. He was noted to have multiple haemangiomas on the pupillary border of both eyes as well as numerous cutaneous haemangiomas on his trunk. A small hyphaema was appreciated inferiorly in the left eye with no active bleeding. Gonioscopic examination was normal except for blood in the inferior angle and the intraocular pressure was 16 mm Hg in each eye. There was no corneal endothelial blood staining. He was treated with homatropine hydrobromide ophthalmic solution 5% (Ciba Vision, Duluth, GA, USA) twice a day and prednisolone acetate 1% (Falcon Pharmaceuticals, Fort Worth, TX, USA) four … |
| Databáze: | OpenAIRE |
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