Massive hyphaema following laser iridotomy in a patient on dual antiplatelet therapy (aspirin plus ticagrelor) : case report and literature review
Other Title(s)
تحدمية جسيمة بعد بضع القزحية بالليزر في مريض يتناول علاج ثنائي من مضادات تكتل الصفيحات الدموية (الأسبرين بالأضافة الى التيكاجريلور) : تقرير حالة و مراجعة للأدبيات
Joint Authors
Galvis, Virgilio
Tello, Alejandro
Carreño, Néstor I.
Sanchez, Walter A.
Frederick, Gabriel A.
Blanco, Nicolas A.
Source
Sultan Qaboos University Medical Journal
Issue
Vol. 19, Issue 1 (28 Feb. 2019), pp.63-67, 5 p.
Publisher
Sultan Qaboos University College of Medicine and Health Sciences
Publication Date
2019-02-28
Country of Publication
Oman
No. of Pages
5
Main Subjects
Topics
Abstract EN
Massive hyphaema presentation after a laser iridotomy is very rare.
We report a 63-year-old man with ischaemic heart disease on dual antiplatelet therapy (aspirin plus ticagrelor) who was diagnosed as a primary angle-closure suspect and was to undergo a neodymium-doped yttrium aluminium garnet laser iridotomy at Centro Oftalmologico Virgilio Galvis, Floridablanca, Colombia in 2016.
While performing the iridotomy in the left eye, active bleeding occurred that finally filled approximately 75 % of the anterior chamber.
Intraocular pressure (IOP) increased to 62 mmHg.
Mannitol and a topical dorzolamide / timolol were used to control the increase in IOP.
The hyphaema slowly resolved over the following week without sequelae.
This case revealed that massive hyphaema can complicate laser iridotomy in patients on dual antiplatelet therapy, although this is rare.
Therefore, if patients are taking aspirin and ticagrelor, it would be advisable to stop the second medication if possible.
In addition, sequential application of photocoagulation and photodisruption lasers might diminish the risk of significant bleeding.
American Psychological Association (APA)
Galvis, Virgilio& Tello, Alejandro& Carreño, Néstor I.& Sanchez, Walter A.& Frederick, Gabriel A.& Blanco, Nicolas A.. 2019. Massive hyphaema following laser iridotomy in a patient on dual antiplatelet therapy (aspirin plus ticagrelor) : case report and literature review. Sultan Qaboos University Medical Journal،Vol. 19, no. 1, pp.63-67.
https://search.emarefa.net/detail/BIM-891454
Modern Language Association (MLA)
Galvis, Virgilio…[et al.]. Massive hyphaema following laser iridotomy in a patient on dual antiplatelet therapy (aspirin plus ticagrelor) : case report and literature review. Sultan Qaboos University Medical Journal Vol. 19, no. 1 (Feb. 2019), pp.63-67.
https://search.emarefa.net/detail/BIM-891454
American Medical Association (AMA)
Galvis, Virgilio& Tello, Alejandro& Carreño, Néstor I.& Sanchez, Walter A.& Frederick, Gabriel A.& Blanco, Nicolas A.. Massive hyphaema following laser iridotomy in a patient on dual antiplatelet therapy (aspirin plus ticagrelor) : case report and literature review. Sultan Qaboos University Medical Journal. 2019. Vol. 19, no. 1, pp.63-67.
https://search.emarefa.net/detail/BIM-891454
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 66-67
Record ID
BIM-891454