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Expulsive hemorrhage: report of five cases
Annals of Ophthalmology
|September 1, 1978
Summary
Expulsive hemorrhage, a serious complication, can occur during eye surgery. Multiple risk factors like glaucoma, hypertension, and vascular disease may contribute to its development.
Area of Science:
- Ophthalmology
- Surgical Complications
- Vascular Health
Background:
- Expulsive hemorrhage is a rare but severe complication during ophthalmic surgery.
- Understanding its multifactorial etiology is crucial for prevention and management.
Observation:
- A review of five cases of expulsive hemorrhage over one year was conducted.
- Two cases occurred during trabeculectomy, a common glaucoma surgery.
- No single common etiological factor was identified across all cases.
Findings:
- Potential contributing factors include glaucoma, hypertension, and pre-existing vascular disease.
- General anesthesia and sudden globe decompression may also play a role.
- The conjectural presence of underlying vascular disease is a common thread.
Implications:
- Identifying and managing risk factors can potentially reduce the incidence of expulsive hemorrhage.
- Further research into the specific role of vascular disease in this complication is warranted.
- This review highlights the need for vigilance during ophthalmic procedures in at-risk patients.