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Endocapsular Hematoma

Endocapsular Hematoma Abstract To the Editor. —I read with interest the article by Hagan and Gaasterland describing six patients with a postoperative capsular bag hyphema following "uncomplicated" extracapsular cataract extractions with posterior chamber intraocular lens implantation.One type of hyphema confined to the capsular bag has been previously described by Eifrig et al.1 It occurred in a diabetic patient who had evidence of neovascularization of both the iris and the capsular bag. In this case, the bleeding did not occur immediately following the surgical procedure, but months later. Eifrig et al termed this separate but related entity rubeosis capsulare.In their "Comment" section, Hagan and Gaasterland do not discuss the history of glaucoma preoperatively in three of the six cases reported. In my experience, patients with glaucoma tend to bleed more and have increased inflammation and intraocular pressure spikes in the immediate postoperative cataract period. This is probably due to their long-term References 1. Eifrig DE, Hermsen V, McManus P, Cunningham R. Rubeosis capsulare . J Cataract Refract Surg . 1990;16:633.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Endocapsular Hematoma

Abstract

Abstract To the Editor. —I read with interest the article by Hagan and Gaasterland describing six patients with a postoperative capsular bag hyphema following "uncomplicated" extracapsular cataract extractions with posterior chamber intraocular lens implantation.One type of hyphema confined to the capsular bag has been previously described by Eifrig et al.1 It occurred in a diabetic patient who had evidence of neovascularization of both the iris and the capsular bag. In this...
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Publisher
American Medical Association
Copyright
Copyright © 1992 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1992.01080150016003
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —I read with interest the article by Hagan and Gaasterland describing six patients with a postoperative capsular bag hyphema following "uncomplicated" extracapsular cataract extractions with posterior chamber intraocular lens implantation.One type of hyphema confined to the capsular bag has been previously described by Eifrig et al.1 It occurred in a diabetic patient who had evidence of neovascularization of both the iris and the capsular bag. In this case, the bleeding did not occur immediately following the surgical procedure, but months later. Eifrig et al termed this separate but related entity rubeosis capsulare.In their "Comment" section, Hagan and Gaasterland do not discuss the history of glaucoma preoperatively in three of the six cases reported. In my experience, patients with glaucoma tend to bleed more and have increased inflammation and intraocular pressure spikes in the immediate postoperative cataract period. This is probably due to their long-term References 1. Eifrig DE, Hermsen V, McManus P, Cunningham R. Rubeosis capsulare . J Cataract Refract Surg . 1990;16:633.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Mar 1, 1992

References

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