Hyphema after peribulbar anesthesia for cataract surgery in Fuchs' heterochromic iridocyclitis

Abstract

Purpose: To describe an unusual ocular sign in one patient with Fuchs' heterochromic iridocyclitis at cataract surgery. Methods: We describe a patient with Fuchs' heterochromic iridocyclitis and cataract who developed a 1 mm hyphema observed two minutes after peribulbar anesthesia for cataract surgery. Results: The patient was found to have an equivalent of the Amsler-Verrey sign. It appeared after peribulbar anesthesia and before any instrument touched the globe. It did not interfere with surgery and disappeared completely by day 2. Conclusion: The appearance of a hyphema after peribulbar anesthesia in Fuchs' heterochromic iridocyclitis is an unusual sign that may have the same pathophysiology as the Amsler-Verrey sign.