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Fundus changes immediately after cataract extraction.

R E Hartley

    Transactions of the Ophthalmological Societies of the United Kingdom
    |April 1, 1975
    PubMed
    Summary
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    Acute ocular hypotony did not cause serous choroidal detachments after cataract surgery. Instead, 80% of eyes showed full-thickness eye wall infoldings in the posterior segment post-surgery.

    Area of Science:

    • Ophthalmology
    • Surgical Science

    Background:

    • Acute ocular hypotony is a potential complication following intraocular surgery.
    • Serous choroidal detachments are a known postoperative complication.

    Purpose of the Study:

    • To investigate the effect of acute ocular hypotony on serous choroidal detachment formation after cataract extraction.
    • To identify early structural changes in the posterior segment following cataract surgery.

    Main Methods:

    • Fundus examination using binocular indirect ophthalmoscopy was performed on 45 eyes immediately after lens removal and during the early postoperative period.
    • Assessment focused on the presence and characteristics of choroidal detachments and eye wall infoldings.

    Main Results:

    • No instances of serous choroidal detachments were observed, either early or late.

    Related Experiment Videos

  • Full-thickness infoldings of the posterior eye wall were detected in 80% of the eyes immediately after lens extraction.
  • The orientation and contributing factors of these infoldings were analyzed.

    • Conclusions:

    • Acute ocular hypotony does not appear to be a significant factor in the formation of serous choroidal detachments after cataract extraction.
    • Postoperative eye wall infoldings are a common finding and warrant further investigation regarding their etiology and clinical significance.