Spontaneous hyphema and pupillary block in a patient with a left ventricular assist device.

Digit J Ophthalmol

Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Connecticut.

Published: March 2017

AI Article Synopsis

  • The left ventricular assist device (LVAD) has been widely used since the 1990s to treat advanced heart failure, but it carries a risk of spontaneous bleeding.
  • A range of bleeding incidents can occur, from minor nosebleeds to severe thoracic and mediastinal hemorrhages.
  • This report describes a unique case of a 72-year-old LVAD patient who experienced a spontaneous intraocular hemorrhage, leading to hyphema and increased intraocular pressure.

Article Abstract

The left ventricular assist device (LVAD) has been a standard of care for the management of patients with advanced heart failure since the 1990s. An increased risk of spontaneous bleeding related to the device has been noted, ranging from minor epistaxis to major thoracic and mediastinal hemorrhages. To our knowledge, intraocular hemorrhage has not been previously reported. We report a 72-year-old patient with an LVAD who subsequently developed a spontaneous intraocular hemorrhage that manifested as hyphema, pupillary block, and acute intraocular pressure elevation.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4902644PMC
http://dx.doi.org/10.5693/djo.02.2015.04.003DOI Listing

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