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. 1985 Dec;69(12):911–914. doi: 10.1136/bjo.69.12.911

Vitreous haemorrhage after cataract extraction.

K R Littlewood, I J Constable
PMCID: PMC1040881  PMID: 4084484

Abstract

One hundred eyes undergoing intracapsular cataract extraction and 100 undergoing extracapsular extraction were examined prospectively within one week postoperatively and again at 6-10 weeks postoperatively. Indirect ophthalmoscopy showed vitreous haemorrhage in 36% of the intracapsular group and 13% of the extracapsular group. Vitreous haemorrhage was significantly related to the occurrence of operative hyphaema (p less than 0.01) but not to iridectomy (p greater than 0.05). In the intracapsular group the use of chymotrypsin significantly reduced the incidence of vitreous haemorrhage (p less than 0.01). Three different types of vitreous haemorrhage were identified--streaks, diffuse haze, and beads in the vitreous base. Wound haemorrhage and operative hyphaema account for most cases, but it is suggested that zonular traction may be responsible for the bead haemorrhages and also for the retinal haemorrhages reported by other authors. Although no difference in visual result or incidence of cystoid macular oedema was observed in this study, a relationship to the vitreoretinal pathology of aphakia is suggested.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Friedman Z., Neumann E., Hyams S. Vitreous and peripheral retina in aphakia. A study of 200 non-myopic aphakic eyes. Br J Ophthalmol. 1973 Jan;57(1):52–57. doi: 10.1136/bjo.57.1.52. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Fung W. E., Coonan P., Ho B. T. Incidence of retinal detachments following extracapsular cataract extractions. A prospective study. Retina. 1981;1(3):232–237. doi: 10.1097/00006982-198101030-00020. [DOI] [PubMed] [Google Scholar]
  3. Jaffe N. S., Clayman H. M., Jaffe M. S. Retinal detachment in myopic eyes after intracapsular and extracapsular cataract extraction. Am J Ophthalmol. 1984 Jan;97(1):48–52. doi: 10.1016/0002-9394(84)90445-8. [DOI] [PubMed] [Google Scholar]
  4. Larsson L., Osterlin S. Retinal vessels in the ora region. Possible role in the vitreo-retinal pathology in aphakia. Acta Ophthalmol (Copenh) 1981 Aug;59(4):526–531. doi: 10.1111/j.1755-3768.1981.tb08338.x. [DOI] [PubMed] [Google Scholar]
  5. McPherson A. R., O'Malley R. E., Bravo J. Retinal detachment following late posterior capsulotomy. Am J Ophthalmol. 1983 May;95(5):593–597. doi: 10.1016/0002-9394(83)90376-8. [DOI] [PubMed] [Google Scholar]
  6. Regnault F. R. Vitreous hemorrhage: an experimental study. I. A macroscopic and isotopic study of the evolution of whole blood and hemoglobin. Arch Ophthalmol. 1970 Apr;83(4):458–465. [PubMed] [Google Scholar]
  7. Saracco J. B., Cornand A., Estachy G., Llavador M. Les lésions rétiniennes périphériques dans l'aphakie. Ophthalmologica. 1978;176(1):12–23. doi: 10.1159/000308685. [DOI] [PubMed] [Google Scholar]
  8. Shepard D. D. Retinal detachment with intraocular lenses. J Am Intraocul Implant Soc. 1978 Apr;4(2):55–55. doi: 10.1016/s0146-2776(78)80056-1. [DOI] [PubMed] [Google Scholar]
  9. Van Bockxmeer F. M., Martin C. E., Constable I. J. Iron-binding proteins in vitreous humour. Biochim Biophys Acta. 1983 Jul 5;758(1):17–23. doi: 10.1016/0304-4165(83)90004-1. [DOI] [PubMed] [Google Scholar]
  10. Wetzig P. C., Thatcher D. B., Christiansen J. M. The intracapsular versus the extracapsular cataract technique in relationship to retinal problems. Trans Am Ophthalmol Soc. 1979;77:339–347. [PMC free article] [PubMed] [Google Scholar]

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