METHODS: The first case is an 82-year-old woman with bilateral severe primary open angle glaucoma. BCVA in the right eye was 20/25, and 10-2 Humphrey visual field showed severe peripheral defects. The patient underwent MPCPC of the right eye and at one week, a settled 2 mm hyphema and vitreous hemorrhage confirmed by B-scan were noted. At three months, the patient had a BCVA of 20/80 with an IOP of 12 and retina consultation deferred a PPV. The second case is of a patient with bilateral moderate stage POAG who underwent MPCPC in both eyes. His original VA was 20/200 bilaterally. At 2 weeks, RE VA was count fingers at one foot and LE was 20/150-1. At two months, a RE B scan revealed dense vitreous opacities. Retina consultation revealed vitreous hemorrhage but a PPV was deferred.
CONCLUSIONS: Clinicians should be aware of the risks of bleeding and the potential need for additional surgical interventions after MPCPC.
方法:第一个病例是一名82岁女性,患有双侧严重的原发性开角型青光眼。右眼BCVA为20/25,10-2Humphrey视野显示严重的周围缺损。患者接受了右眼的MPCPC,一周后,观察到经B超证实的2毫米前房积血和玻璃体出血.三个月后,患者的BCVA为20/80,IOP为12,视网膜会诊推迟了PPV.第二例是双侧中度POAG患者,双眼均接受了MPCPC。他最初的VA是双边20/200。两周后,REVA在一英尺处计数手指,LE为20/150-1。两个月后,REB扫描显示玻璃体混浊。视网膜会诊显示玻璃体出血,但PPV被推迟。
结论:临床医生应该意识到MPCPC后出血的风险和可能需要额外的手术干预。