Hyphema Occurring During Selective Laser Trabeculoplasty

The first case of hyphema occurring during selective laser trabeculoplasty in an eye without neovascularization is described. A 77-year-old man with uncontrolled open-angle glaucoma received selective laser trabeculoplasty in both eyes for high intraocular pressure with maximally tolerated medical treatment. Hyphema occurred during selective laser trabeculoplasty in the left eye. This resolved spontaneously without sequelae. Successful intraocular pressure control was achieved. Hyphema and bleeding can happen during selective laser trabeculoplasty. Although this was transient and uneventful in one patient, careful monitoring of intraocular pressure and anterior chamber reaction is advised. [ Ophthalmic Surg Lasers Imaging 2006;37:432-433.] AUTHORS From the Departments of Ophthalmology, New York Medical College (RR), Valhalla; The New York Eye and Ear Infirmary (WAS, RR); the Manhattan Eye, Ear and Throat Hospital (JML); and New York University Medical Center (JML), New York, New York. Dr. Shihadeh is currently with the Department of Ophthalmology, Jordan University of Science & Technology, Irbid, Jordan. Accepted for publication February 6, 2006. Supported in part by the Joseph and Geraldine LaMotta Research Fund of the New York Glaucoma Research Institute, New York, New York. Address reprint requests to Robert Ritch, MD, Professor and Chief, Glaucoma Service, Department of Ophthalmology, The New York Eye and Ear Infirmary, 310 East 14th Street, New York, NY 10003.