Hyphema associated with pupillary dilation in a patient with exfoliation glaucoma and warfarin therapy

David S. Greenfield, Jeffrey M. Liebmann, Robert Ritch

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

PURPOSE: To describe an unusual hemorrhagic complication associated with pupillary dilation in a patient with exfoliation glaucoma taking anticoagulation therapy. METHODS: A 78-year-old woman with bilateral exfoliation glaucoma who was receiving warfarin, 2 mg daily, for systemic anticoagulation developed acute visual loss in the right eye several hours after pupillary dilation. RESULTS: Examination disclosed bilateral advanced exfoliation glaucoma, localized vascularized iridolenticular adhesions in the right eye, and a 4-mm layered hyphema in the right eye. CONCLUSION: Patients with exfoliation glaucoma and vascularized posterior synechiae who are receiving anticoagulation therapy are at increased risk for visually significant spontaneous hyphema after pupillary dilation.

Original languageEnglish (US)
Pages (from-to)98-100
Number of pages3
JournalAmerican journal of ophthalmology
Volume128
Issue number1
DOIs
StatePublished - Jul 1999
Externally publishedYes

ASJC Scopus subject areas

  • Ophthalmology

Fingerprint Dive into the research topics of 'Hyphema associated with pupillary dilation in a patient with exfoliation glaucoma and warfarin therapy'. Together they form a unique fingerprint.

  • Cite this