Fundus changes immediately after cataract extraction

The effect of acute ocular hypotony as a factor in the formation of serous choridal detachments was investigated in 45 eyes undergoing cataract extraction. A fundus examination was made with binocular indirect ophthalmoscopy immediately after lens removal and in the early postoperative period. No choroidal detachments occurred, either early or late. Full-thickness infoldings of the eye wall in the posterior segment were seen in 80 per cent of the eyes immediately after lens extraction. The orientation of these folds is described, and factors leading to their formation are discussed.