What are the major surgical approaches used in the treatment of hyphema?

Updated: Jan 18, 2019
  • Author: David L Nash, MD; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Answer

Answer

Generally, the authors recommend the type of surgical intervention with which the surgeon is most familiar. Hyphema surgery should be preceded by intravenous acetazolamide and mannitol if the intraocular pressure is elevated. The operation should be performed under general anesthesia in all patients. The operating microscope should be used in all instances. Presently, the 4 major approaches include the following:

  • Hyphema evacuation with closed vitrectomy instrumentation
  • Paracentesis
  • Irrigation and aspiration through a small incision
  • Clot irrigation with trabeculectomy

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