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[Expulsive hemorrhage in cataract extraction]
1Augenklinik des Bereiches Medizin der Karl-Marx-Universität Leipzig.
Klinische Monatsblatter Fur Augenheilkunde
|October 1, 1987
Summary
Massive expulsive hemorrhage during cataract surgery is rare (0.17%). Risk factors include age and high intraocular pressure; surgical drainage can save the eye.
Area of Science:
- Ophthalmology
- Surgical Procedures
- Vascular Complications
Background:
- Intracapsular cataract extraction carries a risk of severe complications.
- Massive expulsive hemorrhage is a rare but significant intraocular event.
Observation:
- Six cases of massive expulsive hemorrhage during intracapsular cataract extraction were reported.
- The incidence was observed to be 0.17%.
Findings:
- Identified risk factors include advanced age, hypertension (hypertony), glaucoma, and inadequate intraocular pressure reduction before surgery.
- Surgical management involves drainage of suprachoroidal hemorrhage, wound closure, and anterior chamber reformation.
Implications:
- Prompt surgical intervention can potentially preserve the eye.
- One case achieved a visual acuity of 0.1 post-treatment, highlighting the possibility of visual recovery.