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Related Experiment Videos

Late hyphema after small incision cataract surgery

T O Odufuwa1, J Bolger

  • 1Department of Ophthalmology, Queen Elizabeth II Hospital, Welwyn Garden City, Hertfordshire, England.

Journal of Cataract and Refractive Surgery
|May 1, 1994
PubMed
Summary

A rare complication of cataract surgery, wound neovascularization causing hyphema, occurred 11 months post-operation. This highlights the importance of precise surgical wound construction to prevent such adverse events.

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Area of Science:

  • Ophthalmology
  • Surgical Complications
  • Vascular Biology

Background:

  • Cataract surgery, particularly small incision techniques, has seen advancements leading to reduced complications.
  • Wound neovascularization is an uncommon but serious adverse event following intraocular surgery.
  • Historically, corneal incisions were favored for extracapsular cataract surgery, minimizing wound-related issues.

Observation:

  • A 68-year-old patient developed spontaneous hyphema (intraocular bleeding) 11 months after uneventful small incision cataract surgery.
  • Examination revealed neovascularization of the surgical wound.
  • The intraocular lens remained properly positioned within the capsular bag.

Findings:

  • The case presents a late-onset complication of wound neovascularization after cataract surgery.

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  • This complication, though rare, can lead to significant visual impairment.
  • The specific type of surgical incision may influence the risk of developing wound neovascularization.

    • Implications:

    • The resurgence of scleral incisions for phacoemulsification may increase the incidence of wound neovascularization.
    • Meticulous surgical wound construction is crucial to prevent this complication.
    • Ophthalmologists should be vigilant for late complications, including neovascularization, even after seemingly successful cataract surgery.