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Expulsive hemorrhage: management without sclerotomy

S W Hyams, C Keroub

    Ophthalmologica. Journal International D'Ophtalmologie. International Journal of Ophthalmology. Zeitschrift Fur Augenheilkunde
    |January 1, 1977
    PubMed
    Summary
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    Expulsive hemorrhage during cataract surgery can be managed by immediate wound closure. This approach avoids scleral blood evacuation and is effective despite limitations of modern microsurgical techniques.

    Area of Science:

    • Ophthalmology
    • Surgical Techniques
    • Vascular Complications

    Background:

    • Expulsive hemorrhage is a rare but severe complication during cataract extraction.
    • Previous management strategies often involved evacuation of blood, which carries risks.
    • The advent of micro-surgical techniques has presented challenges in managing this specific complication.

    Observation:

    • A case of expulsive hemorrhage during cataract extraction was encountered.
    • Immediate wound closure was performed without attempting to evacuate the blood through the sclera.
    • This approach was successful in managing the hemorrhage.

    Findings:

    • Immediate wound closure is a viable and successful treatment for expulsive hemorrhage during cataract surgery.
    • This method bypasses the need for scleral blood evacuation.

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  • Reported cases of this specific management are exceedingly rare, with only two prior instances.

    • Implications:

    • This successful management highlights a potentially safer alternative to traditional methods for expulsive hemorrhage.
    • Ophthalmologists should consider immediate wound closure as a primary treatment option.
    • Further research into optimizing surgical techniques for managing expulsive hemorrhage is warranted.