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Endocapsular hyphema

B M Zagelbaum¹, P S Hersh

¹Department of Ophthalmology, Bronx-Lebanon Hospital Center, Albert Einstein College of Medicine, New York.

Journal of Cataract and Refractive Surgery

|May 1, 1993

Summary

This summary is machine-generated.

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Endocapsular hyphema after cataract surgery can be treated by draining blood into the vitreous using a neodymium:YAG laser. This method restores vision and may overcome clot sequestration from the eye's natural clot-dissolving system.

Area of Science:

Ophthalmology
Surgical Complications
Vitreoretinal Medicine

Background:

Extracapsular cataract surgery is a common procedure.
Endocapsular hyphema is a rare complication following cataract surgery.
The fibrinolytic system in the anterior chamber typically aids clot resorption.

Observation:

A 67-year-old female presented with an endocapsular hyphema post-cataract surgery.
The hyphema persisted despite the uncomplicated nature of the initial surgery.
Standard resorption mechanisms appeared insufficient.

Findings:

Neodymium:YAG laser capsulotomy was performed to drain the endocapsular blood.
The procedure successfully relocated the blood into the vitreous cavity.

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Excellent visual acuity was restored post-intervention.

Implications:

Endocapsular hyphema may resist spontaneous resolution due to clot sequestration.
Neodymium:YAG laser treatment offers a viable therapeutic option for persistent endocapsular hyphema.
This approach may bypass the anterior chamber's fibrinolytic limitations, improving patient outcomes.