白内障手術中の駆逐性出血例について

Expulsive hemorrhage during cataract extraction

　69歳女性で，緑内障を合併した老人性過熟性白内障手術時に，駆逐性出血を生じ，その手術中の写真を供覧し，手術処置について報告した。

A 69-year-old healthy female was operated for hypermature cataract in her right eye. The intra-ocular pressure was 29 mmHg OD and 10 mmHg OS. Crystalline floaters were present in the anterior chamber. Cataract surgery was done under local anesthesia with dichlorphenamide 150 mg as pre-medication. As the lens capsule ruptured, an un-planned extracapsular extraction was attempted. After delivery of the nucleus, a bulging of the iris occurred with loss of the vitreous. Anterior vitre-ctomy was done with full iridectomy. Suddenly, the retina and the choroid moved toward the wound.