Optic Disc Hemorrhage After Phacoemulsification in Patients with Glaucoma

Overview

Journal ISRN Ophthalmol

Specialty Ophthalmology

Date 2014 Apr 15

PMID 24729899

Citations 2

Authors

Karine D Bojikian

Daniel B Moore

Philip P Chen

Mark A Slabaugh

Affiliations

Soon will be listed here.

Abstract

Background. Optic disk hemorrhage is known to be a risk factor for glaucoma progression. Cataract surgery by phacoemulsification results in large intraocular pressure fluctuations. We aim to investigate whether phacoemulsification is associated with optic disc hemorrhage in patients with glaucoma. Methods. This is a retrospective review of consecutive university clinic based glaucoma patients undergoing phacoemulsification alone, with at least 3 visits in the year before and at least 5 visits in the year following phacoemulsification. The presence of optic disk hemorrhage was evaluated with slit lamp biomicroscopy at each clinic visit prior to and following phacoemulsification. Results. We evaluated 158 eyes of 158 subjects; 15 (9.5%) had ODH noted at least once during the 2-year study period. Four eyes had ODH identified on postoperative day 1, for a cross-sectional prevalence of 2.5%. Fourteen ODH episodes were noted preoperatively versus 12 episodes postoperatively (P = 0.68). Aspirin use was associated with ODH (P = 0.015). Conclusions. Our cross-sectional study found a prevalence of ODH immediately after CE that was similar to other published rates, and our longitudinal study did not find an increase in ODH in the year after phacoemulsification when compared to the year prior to surgery.

Citing Articles

Optic disk hemorrhage and vitreous hemorrhage after phacoemulsification in a normal tension glaucoma patient: A case report.

Hu R, Shen L, Wang X Medicine (Baltimore). 2019; 98(26):e16215.

PMID: 31261575 PMC: 6616900. DOI: 10.1097/MD.0000000000016215.

The association between retinal vein pulsation pressure and optic disc haemorrhages in glaucoma.

An D, House P, Barry C, Turpin A, McKendrick A, Chauhan B PLoS One. 2017; 12(7):e0182316.

PMID: 28759054 PMC: 5536188. DOI: 10.1371/journal.pone.0182316.

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