Treatment of vascular tufts at the pupillary margin before cataract surgery

Argon laser treatment of a bleeding iris vascular tuft has been described twice previously for active bleeding resulting in hyphaema with increased intraocular pressure. Surgical decompression of the globe, surgical manipulation causing trauma to the fragile vascular loops, hypotony, and frequent po...

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Bibliographic Details
Published in:British journal of ophthalmology 2003-07, Vol.87 (7), p.920-921
Main Authors: Winnick, M, Margalit, E, Schachat, A P, Stark, W J
Format: Article
Language:English
Subjects:
Aged
Cataract Extraction
cataract surgery
Cataracts
Eye surgery
Hemangioma - surgery
Humans
Iris Neoplasms - surgery
Laser Therapy - methods
Lasers
Letter
Male
Postoperative period
Preoperative Care - methods
pupillary margin
Skin Neoplasms - surgery
Surgery
vascular tufts
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Summary:Argon laser treatment of a bleeding iris vascular tuft has been described twice previously for active bleeding resulting in hyphaema with increased intraocular pressure. Surgical decompression of the globe, surgical manipulation causing trauma to the fragile vascular loops, hypotony, and frequent postoperative use of mydriatics causing pupillary "gymnastics" can all cause haemorrhage in patients with otherwise asymptomatic vascular tufts. 8 Although no previous study demonstrated bleeding of the fragile vascular tufts with surgical decompression, it was theorised that closure of the haemangiomas would reduce the intraoperative risk of bleeding during cataract surgery.
ISSN:0007-1161
1468-2079
DOI:10.1136/bjo.87.7.920