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  • Title: Hyphema associated with pupillary dilation in a patient with exfoliation glaucoma and warfarin therapy.
    Author: Greenfield DS, Liebmann JM, Ritch R.
    Journal: Am J Ophthalmol; 1999 Jul; 128(1):98-100. PubMed ID: 10482102.
    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. RESULT: 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.
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