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[Expulsive hemorrhage (report of 2 cases)]
1Clinique Ophtalmologique de l'Hôpital A. Le Dantec, CHU Le Dantec Dakar, Sénégal.
Dakar Medical
|January 1, 1993
Summary
Expulsive hemorrhage, a severe complication after intumescent cataract surgery, occurred in two patients. Despite no identifiable risk factors, both cases resulted in vision loss and phthisis bulbi.
Area of Science:
- Ophthalmology
- Surgical Complications
Background:
- Intumescent cataract surgery presents unique challenges.
- Expulsive hemorrhage is a rare but devastating complication.
Observation:
- Two patients developed expulsive hemorrhage post-intumescent cataract surgery.
- Severe ocular hypertension (60-70 mmHg) was noted.
- No pre-existing risk factors were identified in either patient.
Findings:
- Surgical wound and posterior sclerotomy could not be sutured due to extensive intraoperative bleeding.
- Inadequate suture material (Vicryl 9/0) was used.
- Both eyes presented with no light perception and ultimately developed phthisis bulbi.
Implications:
- This complication highlights the critical need for meticulous surgical technique in intumescent cataract cases.
- Prompt recognition and management are crucial, though outcomes can be poor.
- Further research into preventative strategies for expulsive hemorrhage is warranted.