Planned vitreous surgery for expulsive hemorrhage Kaori Suzuki 1 , Yukihiko Suzuki 1 , Mitsuru Nakazawa 1 1Dept of Ophthalmol,Hirosaki Univ Grad Sch of Med pp.1619-1624
Published Date 2010/9/15
DOI https://doi.org/10.11477/mf.1410103353
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Abstract. Purpose:To report a case treated by planned vitrectomy for expulsive hemorrhage following cataract surgery. Case:An 82-year-old male presented with complication of cataract surgery. He had received uneventful cataract surgery in his left eye 3 years before. His right eye received extracapsular cataract extraction after capsular rupture during phacoemulsfication. He was referred to us the following day for hyphema and vitreous hemorrhage. Findings and Clinical Course:Visual acuity was light perception with intraocular pressure of 15 mmHg. The right eye showed total retinal detachment and signs of choroidal hemorrhage. Vitrectomy with scleral encircling was performed 16 days later resulting in retinal reattachment. After 2 additional surgeries during the ensuing 17 months,the retina is reattached with visual acuity of 0.09. Conclusion:This case illustrates that planned vitrectomy may be effective for expulsive hemorrhage after hemolysis has set in.

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