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

Medicine

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