Intracameral Phenylephrine to Arrest Intraoperative Intraocular Bleeding: A New Technique

Abstract Intraoperative intraocular bleeding can present a major challenge during anterior segment operations, such as cataract and glaucoma surgery. In the presence of significant intraocular bleeding, the surgeon may be unable to proceed if the bleeding cannot be controlled. Uncontrolled bleeding...

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Main Authors: Mukhtar Bizrah, Melanie C. Corbett
Format: Article
Language:English
Published: Adis, Springer Healthcare 2019-02-01
Series:Ophthalmology and Therapy
Subjects:
Online Access:http://link.springer.com/article/10.1007/s40123-019-0165-y
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author Mukhtar Bizrah
Melanie C. Corbett
author_facet Mukhtar Bizrah
Melanie C. Corbett
author_sort Mukhtar Bizrah
collection DOAJ
description Abstract Intraoperative intraocular bleeding can present a major challenge during anterior segment operations, such as cataract and glaucoma surgery. In the presence of significant intraocular bleeding, the surgeon may be unable to proceed if the bleeding cannot be controlled. Uncontrolled bleeding may also result in intraoperative or postoperative complications. Intracameral injection of phenylephrine was used in three consecutive cases of intraoperative anterior chamber bleeding during cataract surgery, one of which was combined with CyPass® Micro-Stent insertion. This resulted in complete cessation of bleeding within a minute of the injection. No further intraoperative or postoperative hemorrhage was seen. As far as we know, this is the first report of intracameral phenylephrine use intraoperatively to successfully stop anterior chamber bleeding, enabling safe completion of surgery.
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spelling doaj.art-7cb3fbd458b54de0a46c4523fca47f832022-12-22T02:02:42ZengAdis, Springer HealthcareOphthalmology and Therapy2193-82452193-65282019-02-018113714110.1007/s40123-019-0165-yIntracameral Phenylephrine to Arrest Intraoperative Intraocular Bleeding: A New TechniqueMukhtar Bizrah0Melanie C. Corbett1The Western Eye Hospital, Imperial College NHS TrustThe Western Eye Hospital, Imperial College NHS TrustAbstract Intraoperative intraocular bleeding can present a major challenge during anterior segment operations, such as cataract and glaucoma surgery. In the presence of significant intraocular bleeding, the surgeon may be unable to proceed if the bleeding cannot be controlled. Uncontrolled bleeding may also result in intraoperative or postoperative complications. Intracameral injection of phenylephrine was used in three consecutive cases of intraoperative anterior chamber bleeding during cataract surgery, one of which was combined with CyPass® Micro-Stent insertion. This resulted in complete cessation of bleeding within a minute of the injection. No further intraoperative or postoperative hemorrhage was seen. As far as we know, this is the first report of intracameral phenylephrine use intraoperatively to successfully stop anterior chamber bleeding, enabling safe completion of surgery.http://link.springer.com/article/10.1007/s40123-019-0165-yAnterior chamber bleedingCypassIntracameral phenylephrineIntraocular bleedingIntraoperative bleedingIntraoperative hemorrhage
spellingShingle Mukhtar Bizrah
Melanie C. Corbett
Intracameral Phenylephrine to Arrest Intraoperative Intraocular Bleeding: A New Technique
Ophthalmology and Therapy
Anterior chamber bleeding
Cypass
Intracameral phenylephrine
Intraocular bleeding
Intraoperative bleeding
Intraoperative hemorrhage
title Intracameral Phenylephrine to Arrest Intraoperative Intraocular Bleeding: A New Technique
title_full Intracameral Phenylephrine to Arrest Intraoperative Intraocular Bleeding: A New Technique
title_fullStr Intracameral Phenylephrine to Arrest Intraoperative Intraocular Bleeding: A New Technique
title_full_unstemmed Intracameral Phenylephrine to Arrest Intraoperative Intraocular Bleeding: A New Technique
title_short Intracameral Phenylephrine to Arrest Intraoperative Intraocular Bleeding: A New Technique
title_sort intracameral phenylephrine to arrest intraoperative intraocular bleeding a new technique
topic Anterior chamber bleeding
Cypass
Intracameral phenylephrine
Intraocular bleeding
Intraoperative bleeding
Intraoperative hemorrhage
url http://link.springer.com/article/10.1007/s40123-019-0165-y
work_keys_str_mv AT mukhtarbizrah intracameralphenylephrinetoarrestintraoperativeintraocularbleedinganewtechnique
AT melanieccorbett intracameralphenylephrinetoarrestintraoperativeintraocularbleedinganewtechnique