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Episodic Elevations in Intraocular Pressure Associated With Blood in the Schlemm Canal
Arch Ophthalmol. 2004;122:1230-1232.
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Elevated intraocular pressure (IOP) associated with blood in the Schlemm canal may be associated with many different conditions.1-3 To our knowledge, we describe a previously unreported case of a patient with recurrent, intermittent spikes in IOP associated with episodic and transient blood in the Schlemm canal. Whenever the patient was examined because of elevated IOP in one or both eyes, gonioscopy disclosed the presence of blood in varying quadrants of the Schlemm canal in the affected eye(s). Whenever IOP was normalized, with or without medical therapy, the blood was no longer visualized.
Report of a Case
A 38-year-old woman of Latin American descent sought medical care because of right ocular pain, redness, and decreased visual acuity of approximately 12 hours' duration. The pain was not relieved by ibuprofen. The patient reported a history of similar ocular episodes that had occurred intermittently during the preceding 2 years. Her medical history was significant for systemic hypertension . . . [Full Text of this Article]
Comment
Robyn E. Horowitz, MD;
Max Forbes, MD;
Steven M. Podos, MD;
James C. Tsai, MD
Correspondence: Dr Tsai, Harkness Eye Institute, Columbia University College of Physicians and Surgeons, 635 W 165th St, New York, NY 10032 (jct2002@columbia.edu).
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