CASE REPORT article
Front. Ophthalmol.
Sec. Surgical Ophthalmology
Multiple anterior chamber paracentesis or washout for a large hyphema following vitrectomy with silicone oil tamponade
Provisionally accepted
- Sichuan Provincial People's Hospital, Chengdu, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Introduction: To report the management of a long-standing, large hyphema following vitrectomy with silicone oil tamponade using multiple anterior chamber paracentesis (ACP) or washout (ACW). Case presentation: A 50-year-old woman presented with blurred vision attributed to polypoidal choroidal vasculopathy and vitreous hemorrhage. Vitrectomy with silicone oil tamponade and lens extraction were performed. A persistent large hyphema and elevated intraocular pressure were detected postoperatively. ACP and ACW were performed five and two times, respectively. The hyphema faded, and the elevated IOP decreased to the normal range within two months. The cornea was clear and corneal blood staining was not observed. Conclusions: Multiple ACPs and ACWs are necessary and effective for the treatment of long-standing large hyphema.
Keywords: Hyphema, Pars plana vitrectomy, Anterior chamber paracentesis, Anterior chamber washout, Silicone oil tamponade
Received: 02 May 2025; Accepted: 19 Nov 2025.
Copyright: © 2025 Li, Peng, Luo, Zhang, Yao, Chen and Zhou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Lin Zhou, oph_zl@163.com
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.